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

Christina Blair Wallace, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760944284

Christina Blair Wallace, MD is a Family Practice in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 2019, 7 years ago. Practices with Mississippi Band of Choctaw Indians, a 23-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5601
Fax: (601) 984-6665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence T-3899 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760944284
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESJuly 5, 2019

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Mississippi Band Of Choctaw Indians — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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