Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela O Waller, FNP

Individual provider Nurse Practitioner · NPI 1194774190

Angela O Waller, FNP is a Nurse Practitioner in Natchez, Mississippi. Qualified in 2005, 21 years ago. Practices with Humboldt General Hospital, a 42-clinician group and accepts Medicare assignment. Licensed in Louisiana, Mississippi and New Mexico.

Years since qualifying
21
Licensed in
LA, MS, NM
In the registry since
2006
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

300 Highland Blvd Ste B
Natchez, MS 39120-4600
Phone: (601) 304-2421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP65978 (NM)
Nurse Practitioner Taxonomy 363L00000X · Licence AP04732 (LA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R853759 (MS)

Record details

NPI number1194774190
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Humboldt General Hospital — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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