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Dionne H Wallace, CNP
Family Nurse Practitioner in Perryville, Arkansas
NPI 1417456989

Dionne H Wallace is a Family Nurse Practitioner based in Hardy, AR and is specialized in Family. Dionne H Wallace practices in Perryville, AR and has the professional credentials of CNP. The NPI Number for Dionne H Wallace is 1417456989 and holds a License No. A005504 (Arkansas).

The current practice location address for Dionne H Wallace is 1016 N Fourche Ave, Perryville, AR and can be reached out via phone at 501-238-1284.

Location: 1016 N Fourche Ave, Perryville, AR, 72542-9566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417456989
Provider Name
Dionne H Wallace
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
1016 N Fourche Ave, Perryville, AR, 72542-9566
Phone Number
501-238-1284
Fax Number
Provider Enumeration Date
02/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1016 N Fourche Ave
City
Perryville
State
Arkansas
Zip
72126-8545
Phone Number
501-238-1284
Fax Number
person
Provider Business Mailing Address Details
Address
1016 N Fourche Ave
City
Perryville
State
Arkansas
Zip
72126-8545
Phone Number
501-238-1284
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A005504 (Arkansas)
Definition
Definition to come...
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