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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SIERRA WALLACE
NPI 1659270049
Licensed Practical Nurse in Vicksburg, MS

Active since November 03, 2026
3444 WISCONSIN AVE, VICKSBURG, MS 39180(601) 638-0031 Get Directions Write a Review

NPPES record added: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sierra Wallace NPPES

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

SIERRA WALLACE (NPI 1659270049) is an individual licensed practical nurse in Vicksburg, Mississippi, licensed in Mississippi (342285) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1659270049
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSIERRA WALLACE
Location Address3444 WISCONSIN AVEVicksburg, MS 39180-5331
Mailing Address3444 Wisconsin AveVicksburg, MS 39180-5331
Phone(601) 638-0031
Sole ProprietorNo
Enumeration DateNovember 3, 2026
NPPES CertifiedNovember 3, 2026
✔ NPI 1659270049 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 · 342285
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.
3444 WISCONSIN AVE, Vicksburg, MS 39180
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Other Providers at the Same Location NPPES 20

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

TIFFANY SMITH
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
WARREN YAZOO MENTAL HEALTH SERVICE
Clinic/Center (Mental Health (Including Community Mental Health Center))
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
FELICIA WILSON PCMHT
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
HEATHER POTTS
Counselor (Addiction (Substance Use Disorder))
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
ROSALYN GLASCOE
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
ANN NELSON LSW
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
MILLICENT LEDBETTER
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031
MADALENE J BARKSDALE-MAYFIELD
Counselor (Mental Health)
3444 WISCONSIN AVE
VICKSBURG, MS 39180
Warren County (601) 638-0031

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 Sierra Wallace's NPI number?

The NPI number for Sierra Wallace is 1659270049. It was assigned to this individual provider in the NPPES registry on November 3, 2026.

Where is Sierra Wallace located?

Sierra Wallace practices at 3444 Wisconsin Ave, Vicksburg, MS 39180. The listed phone number is (601) 638-0031.

What is Sierra 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 Sierra Wallace was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.