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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CIJI DEYUANA WALLACE, RN-FNP

Active

MRS. CIJI DEYUANA WALLACE, RN-FNP is a Family Nurse Practitioner healthcare provider located in BOGALUSA, Louisiana. NPI 1487455036 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · BOGALUSA, LA

Registration Details

NPI Number
1487455036
Provider Type
Individual
Gender
Female
NPI Issued
Mar 20, 2025 (1.3962665077789 yrs)
Last Updated
Oct 14, 2025
Licenses
907340 (MS)
240977 (LA)
913403 (MS)

Practice Information

Address
219 S BORDER DR
BOGALUSA, LA, 704273671
Browse LA providers · Browse ZIP 70427
Phone
9856331952
Fax
9857324458
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Registered Nurse

Other Family Nurse Practitioner Providers in BOGALUSA, LA

Name Credential NPI
PATTI C. WASCOM F.N.P. 1275559817
CLAY J HUBBLE III FNP-C 1295963692
JANICE BAKER LLOYD FNP, BC 1497986772
ALISON LEIGH THORNHILL NP 1528409612
MRS. JENNIFER HEAUSLER CREECH FNP 1659820181
MR. ALVIN GENE WILLIAMS FNP 1083138226
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.