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1316391055
JESSICA NICOLE WALLACE SHELTON
TUPELO, MS
NPI
1316391055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 901492)
Enumeration Date
2016-04-19
Last Update Date
2023-10-25
Business Address
JESSICA NICOLE WALLACE SHELTON NP-C
2089 SOUTHRIDGE DR
TUPELO, MS 38801-6478
Phone number: 662-407-0801
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Mailing Address
JESSICA NICOLE WALLACE SHELTON NP-C
2760 GUNTHARP RD S
FULTON, MS 38843-9583
Phone number:
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