Deanna Wallace, NP is a family nurse practitioner in Decatur, IL with 8 years of experience. Deanna Wallace, NP NPI is 1609222579. 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:
1770 E LAKE SHORE DR STE 105
DECATUR, IL
ZIP 62521-800
Phone: (217) 422-6100
Fax: (833) 784-5326
The NPI 1609222579 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 5/10/2016 and was last updated on 12/27/2021.