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

Kenitra Wallace, FNP

Individual provider Family Nurse Practitioner · NPI 1891218046

Kenitra Wallace, FNP is a Nurse Practitioner in Natchez, Mississippi. Qualified in 2017, 9 years ago. Practices with Jefferson Comprehensive Health Center, Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2017
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

145 Homochitto St
Natchez, MS 39120
Phone: (601) 442-4863
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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 902181 (MS)

Record details

NPI number1891218046
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 19, 2017
Last updated in NPPESMay 23, 2018
Mailing address145 Homochitto St, Natchez, MS 39120-3906

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Jefferson Comprehensive Health Center, Inc. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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