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

Amy Wall

Individual provider Family Nurse Practitioner · NPI 1346751195

Amy Wall is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2017, 9 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2017
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Practice location Address checks out

501 Marshall St Ste 104
Jackson, MS 39202-1663
Phone: (601) 969-6404
Fax: (601) 973-4541
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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 902194 (MS)

Record details

NPI number1346751195
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 19, 2017
Last updated in NPPESMarch 12, 2018

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 Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Jackson