| Louwanna Marie Wallace, CNP | |
|
112 W Madison Ave, Chrisman, IL 61924-1118 | |
| (217) 269-2394 | |
| (217) 269-2438 |
| Full Name | Louwanna Marie Wallace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 112 W Madison Ave, Chrisman, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649304882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Louwanna Marie Wallace, CNP 112 W Madison Ave, Chrisman, IL 61924-1118 Ph: (217) 269-2394 | Louwanna Marie Wallace, CNP 112 W Madison Ave, Chrisman, IL 61924-1118 Ph: (217) 269-2394 |
Kristina A. Gabbard, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 W Madison Ave, Chrisman, IL 61924 Phone: 217-269-2394 | |
Danielle Ireland, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 W Madison Ave, Chrisman, IL 61924 Phone: 217-269-2394 Fax: 217-269-2438 |