SHERITA DANIELLE WALLACE

MERIDIAN, MS
NPI1225502412
Former NameSHERITA DANIELLE BOYD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  902938)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  37389)
Enumeration Date2019-01-22
Last Update Date2024-11-20
Business Address
Mrs. SHERITA DANIELLE WALLACE NP
3514 HIGHWAY 39 N STE A&B
MERIDIAN, MS 39301-1305
Phone number: 601-512-1310
Mailing Address
Mrs. SHERITA DANIELLE WALLACE NP
3514 HIGHWAY 39 N STE A&B
MERIDIAN, MS 39301-1305
Phone number: 601-512-1310