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MRS. DIONNE LANETTE WALLACE MSN RN CNL
NPI 1386163830
Registered Nurse - Medical-Surgical in Eastpointe, MI

Active since September 15, 2017
15730 MOK AVE, EASTPOINTE, MI 48021(586) 241-7088(585) 585-9555 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2023, Jul 21, 2022, Sep 15, 2017 (3 updates tracked since 2017).

About Mrs. Dionne Lanette Wallace Msn Rn Cnl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DIONNE LANETTE WALLACE MSN RN CNL (NPI 1386163830) is an individual medical-surgical provider in Eastpointe, Michigan, licensed in Michigan (4704260135) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1386163830
Entity TypeIndividualFemale
Primary Taxonomy163WM0705X
Provider Legal NameMRS. DIONNE LANETTE WALLACECredential: MSN RN CNL
Location Address15730 MOK AVEEastpointe, MI 48021-2367
Mailing Address15730 Mok AveEastpointe, MI 48021-2367 · (586) 241-7088 · Fax (585) 585-9555
Phone(586) 241-7088
Fax(585) 585-9555
Sole ProprietorYes
Enumeration DateSeptember 15, 2017
Last NPPES UpdateMay 11, 20233 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1386163830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License✔ Licensed in MI · 4704260135
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 4704260135 (MI)
15730 MOK AVE, Eastpointe, MI 48021
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

D WALLACE HEALTH PROMOTION AND WELLNESS
Nursing Care
15730 MOK AVE
EASTPOINTE, MI 48021
Macomb County (313) 415-1538
CARE COMPASSION CENTER CORP
Clinic/Center (Adult Day Care)
15730 MOK AVE
EASTPOINTE, MI 48021
Macomb County (586) 241-7088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dionne Wallace's NPI number?

The NPI number for Dionne Wallace is 1386163830. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Where is Dionne Wallace located?

Dionne Wallace practices at 15730 Mok Ave, Eastpointe, MI 48021. The listed phone number is (586) 241-7088.

What is Dionne Wallace's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.

When was this NPI record last updated?

The NPPES record for Dionne Wallace was last updated on May 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.