DR. Cesalie Deonne Wallace, APN is a family nurse practitioner in Jacksonville, AR. DR. Cesalie Deonne Wallace, APN NPI is 1407104052. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3000 NORTH FIRST STREET
JACKSONVILLE, AR
ZIP 72076
Phone: (501) 982-7477
The NPI 1407104052 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/29/2012 and was last updated on 8/29/2012.