IndividualActive
Edna Wallace, LPN
NPI 1255274411 · Licensed Practical Nurse · Fayette, MS
Edna Wallace, LPN is a Licensed Practical Nurse provider in Fayette, MS (NPI 1255274411).
Provider details
- NPI number
- 1255274411
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- P189022 (MS)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1555 N. Main Street
Fayette, MS 39069
Phone: (601) 786-8091
Fax: (601) 786-8023
Street-level locationGet directions
Mailing address
Po Box 194
Lorman, MS 39096-0194
Registry dates
- Enumerated
- 2026-04-13
- Last updated
- 2026-04-13
- Certified
- 2026-04-06
Frequently asked questions
- What is Edna Wallace's NPI number?
- Edna Wallace's National Provider Identifier (NPI) is 1255274411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edna Wallace's specialty?
- Edna Wallace is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Edna Wallace located?
- Edna Wallace's practice location on file with NPPES is 1555 N. Main Street, Fayette, MS 39069.
- What is Edna Wallace's phone number?
- The practice phone number listed in the NPPES registry for Edna Wallace is (601) 786-8091.
- Is Edna Wallace's NPI active?
- Yes — Edna Wallace's NPI (1255274411) is active in the NPPES registry as of the last update on 2026-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.