| Mrs Ciji Deyuana Wallace, RN-FNP | |
|
5407 Indian Hill Blvd, Diamondhead, MS 39525-3324 | |
| (228) 687-1385 | |
| Not Available |
| Full Name | Mrs Ciji Deyuana Wallace |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 5407 Indian Hill Blvd, Diamondhead, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487455036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 907340 (Mississippi) | Secondary |
| 163W00000X | Registered Nurse | 913403 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ciji Deyuana Wallace, RN-FNP Po Box 652, Mc Neill, MS 39457-0652 Ph: (601) 215-6976 | Mrs Ciji Deyuana Wallace, RN-FNP 5407 Indian Hill Blvd, Diamondhead, MS 39525-3324 Ph: (228) 687-1385 |
Deedy Killen, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 124a Lakeside Villa Bldg C, Diamondhead, MS 39525 Phone: 228-355-8700 | |
Maria Casillas Barrett, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8426 Kimo Ct, Diamondhead, MS 39525 Phone: 228-342-9405 | |
Allison Kae Hennessey, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8316 Amoka Dr, Diamondhead, MS 39525 Phone: 228-216-3298 | |
Debbie Lynn Richardson, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 95514 Diamondhead Dr W, Diamondhead, MS 39525 Phone: 228-255-2691 | |
Teresa Romano, RN, MN, CCNS Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8952 Anahola Pl, Diamondhead, MS 39525 Phone: 228-586-0040 | |
Jennifer Thompson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 737 Anela Dr, Diamondhead, MS 39525 Phone: 228-342-5366 |