DR. CESALIE WALLACE, APN

Nurse Practitioner - Family

Active Individual
NPI: 1407104052

Practice Address

3000 NORTH FIRST STREET
Jacksonville, AR 72076

Phone: (501) 982-7477

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes A003758 (AR)

Frequently Asked Questions

NPI 1407104052 is the National Provider Identifier for DR. CESALIE WALLACE, APN, a Nurse Practitioner - Family provider located in Jacksonville, AR. This NPI was enumerated on August 29, 2012.
DR. CESALIE WALLACE, APN practices at 3000 NORTH FIRST STREET, Jacksonville, AR 72076.

Quick Facts

NPI
1407104052
Type
Individual
Enumerated
Aug 29, 2012
Last Updated
Jan 23, 2026

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