Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Andrea Wallace, FNP-C

Family Nurse Practitioner in Olive Branch, MS · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497414213

Verified

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Registry record

Entity type Individual (Type 1)

Name Andrea Wallace

Credential FNP-C

Sex Female

Practice address 5041 Goswell Cv, Olive Branch, MS, 38654

Phone (901) 517-2555

Enumeration date Dec 9, 2021

Last updated in NPPES Jul 6, 2023

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 30782 (TN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Andrea Wallace practice?

The practice location on file with NPPES is in Olive Branch, MS. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Andrea Wallace?

The National Provider Identifier (NPI) for Andrea Wallace is 1497414213, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-07-06.