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

John Robert Walli, NURSEPRACTIONER

Individual provider Family Nurse Practitioner · NPI 1508138843

John Robert Walli, NURSEPRACTIONER is a Nurse Practitioner in Biloxi, Mississippi. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
15
Licensed in
MS
In the registry since
2012

Practice location Address checks out

16443 Delia Dr
Biloxi, MS 39532-9411
Phone: (228) 861-8505
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R850026 (MS)

Record details

NPI number1508138843
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTIONER
Sole proprietorYes
NPI enumeratedFebruary 2, 2012
Last updated in NPPESNovember 30, 2019
Mailing address16443 Delia Dr, Biloxi, MS 39532-9411

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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