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

Brandy S Wallace

Individual provider Family Nurse Practitioner · NPI 1770113441

Brandy S Wallace is a Family Nurse Practitioner in New Orleans, Louisiana. Works from 2 locations. Licensed in Louisiana and Mississippi.

Licensed in
LA, MS
In the registry since
2020
Specialties on file
2

Practice location Address checks out

6823 Saint Charles Ave Bldg 92
New Orleans, LA 70118-5665
Phone: (504) 865-5255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 County Road 127, Quitman, MS 39355-9668 — (601) 616-1864

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 215880 (LA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 903712 (MS)

Record details

NPI number1770113441
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESOctober 12, 2020
Certification dateOctober 12, 2020

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