MRS. EDNA FELLS WALLACE LPN
NPI 1255274411
Licensed Practical Nurse in Fayette, MS

Q: What is Edna Wallace's NPI number?

The NPI number for Edna Wallace is 1255274411. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Q: What is Edna Wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Edna Wallace was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2026

1555 N. MAIN STREET, FAYETTE, MS 39069(601) 786-8091(601) 786-8023 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Edna Fells Wallace Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EDNA FELLS WALLACE LPN (NPI 1255274411) is an individual licensed practical nurse in Fayette, Mississippi, licensed in Mississippi (P189022) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1255274411

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. EDNA FELLS WALLACECredential: LPN

Location Address1555 N. MAIN STREETFayette, MS 39069

Mailing AddressPo Box 194Lorman, MS 39096-0194 · (601) 809-8901 · Fax (601) 786-8023

Phone(601) 786-8091

Fax(601) 786-8023

Sole ProprietorNo

Enumeration DateApril 13, 2026

NPPES CertifiedApril 6, 2026

✔ NPI 1255274411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MS · P189022

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1555 N. MAIN STREET, Fayette, MS 39069

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KADESHIA HUNT PCMHT

Counselor (Mental Health)

1555 N. MAIN STREET
FAYETTE, MS 39069

Jefferson County (601) 786-8091

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edna Wallace's NPI number?

The NPI number for Edna Wallace is 1255274411. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Edna Wallace located?

Edna Wallace practices at 1555 N. Main Street, Fayette, MS 39069. The listed phone number is (601) 786-8091.

What is Edna Wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Edna Wallace was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.