HAILEY WALLACE
NPI 1669355566
Nurse Practitioner - Community Health in Paducah, KY

Active since July 28, 2025
916 KENTUCKY AVE, PADUCAH, KY 42003(270) 444-9631(270) 442-8769 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hailey Wallace NPPES

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

HAILEY WALLACE (NPI 1669355566) is an individual community health provider in Paducah, Kentucky, licensed in Kentucky (4007951) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1669355566
Entity TypeIndividualFemale
Primary Taxonomy363LC1500X
Provider Legal NameHAILEY WALLACE
Location Address916 KENTUCKY AVEPaducah, KY 42003-1977
Mailing Address916 Kentucky AvePaducah, KY 42003-1977 · (270) 444-9631 · Fax (270) 442-8769
Fax(270) 442-8769
Sole ProprietorNo
Enumeration DateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
NPI 1669355566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
License Licensed in KY · 4007951
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 4007951 (KY)
916 KENTUCKY AVE, Paducah, KY 42003

Other Providers at the Same Location NPPES 9

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

Dental Hygienist
916 KENTUCKY AVE
PADUCAH, KY 42003
Public Health or Welfare
916 KENTUCKY AVE
PADUCAH, KY 42003
Nurse Practitioner
916 KENTUCKY AVE, PADUCAH-MCCRACKEN COUNTY HEALTH CENTER
PADUCAH, KY 42003
Home Health
916 KENTUCKY AVE, MCCRACKEN COUNTY HOME HEALTH AGENCY
PADUCAH, KY 42003
Public Health or Welfare
916 KENTUCKY AVE
PADUCAH, KY 42003
Home Health
916 KENTUCKY AVE
PADUCAH, KY 42003
Home Health
916 KENTUCKY AVE
PADUCAH, KY 42003
Public Health or Welfare
916 KENTUCKY AVE
PADUCAH, KY 42003

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 Hailey Wallace's NPI number?

The NPI number for Hailey Wallace is 1669355566. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Hailey Wallace located?

Hailey Wallace practices at 916 Kentucky Ave, Paducah, KY 42003. The listed phone number is (270) 444-9631.

What is Hailey Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

When was this NPI record last updated?

The NPPES record for Hailey Wallace was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.