Individual provider · Type 1 NPI
Paula M. Wallace, P.A.
Surgical Physician Assistant · Monroe, LA
NPI number
1689698490
Active
Practice location
312 Grammont St Ste 401
Monroe, LA 71201-7403
Fax (318) 966-1810
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Other practice locations
- 212 Walnut St, Ste 110, Monroe, LA 71201-6707 · (318) 323-1809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | P.A.A10590.RX (LA) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Monroe
About NPI 1689698490
Paula M. Wallace, P.A.'s National Provider Identifier is 1689698490, issued on Jul 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Monroe, LA. The record was last updated on Jan 13, 2026.