Shannon Laiche Wallace, NP
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2026
- Practice address
- 2100 Highway 61 N, Vicksburg, MS 39183
- Practice phone
- Call (601) 883-5000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Medical group
Find Shannon Wallace's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Shannon Laiche Wallace is a nurse practitioner in Vicksburg, Mississippi
Shannon Wallace practices with Merit Health Medical Group, a medical group.
Shannon Wallace's NPI, 1437084605, was assigned on June 17, 2026. Shannon Wallace holds Mississippi license 908508.
- NPI
- 1437084605NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4688138811
- NPI enumeration date
- June 17, 2026
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (601) 883-5000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Doctors and Clinicians National Downloadable File (CMS)
Shannon Laiche Wallace's practice address is in Vicksburg, Mississippi
Shannon Wallace's practice address in the NPI Registry is 2100 Highway 61 N, Vicksburg, MS 39183. The practice phone is (601) 883-5000.
- NPI Registry address2100 Highway 61 N, Vicksburg, MS 39183Phone(601) 883-5000
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Shannon Laiche Wallace is affiliated with 1 medical group
Shannon Wallace is part of Merit Health Medical Group, a medical group in Jackson, Mississippi.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Shannon Laiche Wallace's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Shannon Wallace practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Merit Health Medical Group | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Merit Health Medical Group and 6.2K+ hospitals, with verified contacts in the same login.
Shannon Laiche Wallace is one of 817 nurse practitioners in Mississippi
Nurse practitioner is Shannon Wallace's primary specialty in the NPI Registry, under taxonomy code 363L00000X. Shannon Wallace is licensed in Mississippi.
Specialties and state licenses
- Nurse practitioner, MississippiPrimary
Nurse practitioners near Shannon Wallace
Counts of nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
How Shannon Laiche Wallace takes part in Medicare
Shannon Wallace accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Shannon Laiche Wallace's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Shannon Laiche Wallace
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Shannon Laiche Wallace's NPI number?
Shannon Laiche Wallace's NPI number is 1437084605. It was assigned on June 17, 2026, and it is active in the NPI Registry.
What does Shannon Laiche Wallace specialize in?
Shannon Laiche Wallace is a nurse practitioner in Vicksburg, Mississippi. The primary specialty in the NPI Registry is Nurse Practitioner (taxonomy code 363L00000X).
Where does Shannon Laiche Wallace practice?
Shannon Wallace practices at 2100 Highway 61 N, Vicksburg, MS 39183. Shannon Wallace's primary practice is Merit Health Medical Group, a medical group.
What is Shannon Laiche Wallace's office phone number?
The practice phone on file for Shannon Wallace is (601) 883-5000.
What is Shannon Laiche Wallace's medical license number?
Shannon Wallace holds Mississippi license 908508.
What medical group is Shannon Laiche Wallace part of?
Shannon Wallace is part of Merit Health Medical Group in Jackson, Mississippi.
Does Shannon Laiche Wallace accept Medicare?
Yes. CMS lists Shannon Wallace as accepting Medicare assignment.
How long has Shannon Laiche Wallace been practicing?
Shannon Wallace's NPI was assigned in 2026.
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