Individual provider · Type 1 NPI

Cesalie Deonne Wallace, APN

Family Nurse Practitioner · Jacksonville, AR

NPI number 1407104052 Active

Practice location

3000 North First Street
Jacksonville, AR 72076

Call (501) 982-7477 Map

Mailing address

3000 N 1st St
Jacksonville, AR 72076-1802

Other practice locations

  • 4301 W Markham St # 519, Little Rock, AR 72205-7101 · (501) 686-7977

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XA003758 (AR)

Family Nurse Practitioner: Definition to come...

Other family nurse practitioner providers in Jacksonville

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About NPI 1407104052

Cesalie Deonne Wallace, APN's National Provider Identifier is 1407104052, issued on Aug 29, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, AR. The record was last updated on Jan 23, 2026.