Deanna Wallace is a Decatur, Illinois based nurse practitioner with 8 years of experience in . She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Deanna Wallace is 209014278 for Family in Illinois. Her current practice location is 1770 E Lake Shore Dr Ste 105, Decatur. Patients can reach her at 217-422-6100 or can fax her at 833-784-5326. Deanna Wallace is NP and her NPI number (Unique professional ID assigned by NPPES) is 1609222579. Deanna Wallace has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Deanna Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Deanna Wallace
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Experience:
8+ years
Medical School Attended:
Other
Graduation Year:
2016
Accepts Medicare Assignment:
Yes
Practice Address:
1770 E Lake Shore Dr Ste 105, Decatur, Illinois, 62521-3800
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5799074605
Enrollment ID:
I20160517000849
NPI Number:
1609222579
NPI Enumeration Date:
10 May, 2016
NPI Last Update On:
27 Dec, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Deanna Wallace are as mentioned below.
License Number
Specialization
State
Status
209014278
Family
Illinois
Primary
209.014278
Internal Medicine
Illinois
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(140166)
Decatur, IL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Deanna Wallace is associated with along with the number of members in that group.