Individual
DR. CESALIE DEONNE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3000 NORTH FIRST STREET, JACKSONVILLE, AR 72076
(501) 982-7477
Mailing address
3000 N 1ST ST, JACKSONVILLE, AR 72076-1802
(501) 982-7477
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003758
AR
Other
Enumeration date
08/29/2012
Last updated
01/23/2026
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