person
Louwanna Marie Wallace, CNP
Family Nurse Practitioner in Chrisman, Illinois
NPI 1649304882

Louwanna Marie Wallace is a Family Nurse Practitioner based in Chrisman, IL and is specialized in Family. Louwanna Marie Wallace practices in Chrisman, IL and has the professional credentials of CNP. The NPI Number for Louwanna Marie Wallace is 1649304882 and holds a License No. (Illinois).

The current practice location address for Louwanna Marie Wallace is 112 W Madison Ave, Chrisman, IL and can be reached out via phone at 217-269-2394 and via fax at 217-269-2438.

Location: 112 W Madison Ave, Chrisman, IL, 61924-1118
person
Provider Profile Details
NPI Number
1649304882
Provider Name
Louwanna Marie Wallace
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
112 W Madison Ave, Chrisman, IL, 61924-1118
Phone Number
217-269-2394
Fax Number
217-269-2438
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
112 W Madison Ave
City
State
Zip
61924-1118
Phone Number
217-269-2394
Fax Number
217-269-2438
person
Provider Business Mailing Address Details
Address
112 W Madison Ave
City
State
Zip
61924-1118
Phone Number
217-269-2394
Fax Number
217-269-2438
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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