Dionne H Wallace, CNP | |
1016 N Fourche Ave, Perryville, AR 72126-8545 | |
(501) 238-1284 | |
Not Available |
Full Name | Dionne H Wallace |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1016 N Fourche Ave, Perryville, Arkansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417456989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A005504 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urgent Team Of Arkansas Physicians Llc | 1850539198 | 125 |
Entity Name | Urgent Team Of Arkansas Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992041370 PECOS PAC ID: 1850539198 Enrollment ID: O20130529000209 |
Mailing Address | Practice Location Address |
---|---|
Dionne H Wallace, CNP 101 W Main St, Hardy, AR 72542-9566 Ph: (573) 718-2570 | Dionne H Wallace, CNP 1016 N Fourche Ave, Perryville, AR 72126-8545 Ph: (501) 238-1284 |
Jalesia Austin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 N Fourche Ave, Perryville, AR 72126 Phone: 501-238-1284 Fax: 870-895-2164 | |
Megan Andres, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 North Fourche Avenue, Perryville, AR 72126 Phone: 501-238-1284 | |
Rainie Jones, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 518 N Fourche Ave, Perryville, AR 72126 Phone: 501-889-5543 Fax: 501-889-5546 | |
Brandie Tindell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 N Fourche Ave, Perryville, AR 72126 Phone: 870-856-1202 Fax: 870-895-2164 | |
Sandra Elaine Odom, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 N Fourche Ave, Perryville, AR 72126 Phone: 501-238-1284 | |
Holly N Griffis, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 518 N Fourche Ave, Perryville, AR 72126 Phone: 501-889-5543 |