| 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 | Nurse Practitioner - Family |
| 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) | Primary |
| 163W00000X | Registered Nurse | 913403 (Mississippi) | Secondary |
| 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 |
Mr. Casey Michael Favre, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4540 B Shepherds Squard, Diamondhead, MS 39525 Phone: 228-255-8216 Fax: 228-255-8219 | |
Mrs. Barbara Denise Franceski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-255-4300 Fax: 228-255-3626 | |
James W Embry, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4402 E Aloha Dr Ste 16, Diamondhead, MS 39525 Phone: 228-364-9001 Fax: 228-364-9004 | |
Ms. Gary S. Porter, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 B Shepherds Squard, Diamondhead, MS 39525 Phone: 228-255-8216 Fax: 228-255-8219 | |
Ronald Boa Miller Jr., N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4402 E Aloha Dr, Diamondhead, MS 39525 Phone: 228-364-9001 | |
Mrs. Kerri Drake Robin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4433 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-586-9229 Fax: 228-586-9230 | |
Micah Anthony Ladner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4402 E Aloha Dr, Suite 15, Diamondhead, MS 39525 Phone: 228-364-9001 |