Individual provider · Type 1 NPI

Deanna Wallace, NP

Family Nurse Practitioner · Chattanooga, TN

NPI number 1609222579 Active

Practice location

2501 Citico Ave
Chattanooga, TN 37404-1127

Fax (423) 697-2320

Other practice locations

  • 1800 E Lake Shore Dr, Decatur, IL 62521-3810 · (217) 422-6100
  • 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521-3800 · (217) 422-6100
  • 611 W Park, Fapc, Urbana, IL 61802 · (217) 902-6954

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X42090 (TN)
Family Nurse Practitioner 363LF0000X209014278 (IL)

Family Nurse Practitioner: Definition to come...

63 other providers at this address

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About NPI 1609222579

Deanna Wallace, NP's National Provider Identifier is 1609222579, issued on May 10, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chattanooga, TN. The record was last updated on Sep 21, 2026.