LOUWANNA MARIE WALLACE CNP
NPI 1649304882
Nurse Practitioner - Family in Chrisman, IL

Active since March 16, 2007
112 W MADISON AVE, CHRISMAN, IL 61924(217) 269-2394(217) 269-2438 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Louwanna Marie Wallace Cnp NPPES

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

LOUWANNA MARIE WALLACE CNP (NPI 1649304882) is an individual family provider in Chrisman, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1649304882
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLOUWANNA MARIE WALLACECredential: CNP
Location Address112 W MADISON AVEChrisman, IL 61924-1118
Mailing Address112 W Madison AveChrisman, IL 61924-1118 · (217) 269-2394 · Fax (217) 269-2438
Fax(217) 269-2438
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1649304882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
112 W MADISON AVE, Chrisman, IL 61924

Other Names 1

Former Name (1)Louwanna Marie Conard

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
112 W MADISON AVE
CHRISMAN, IL 61924
Nurse Practitioner (Psychiatric/Mental Health)
112 W MADISON AVE
CHRISMAN, IL 61924
Clinic/Center (Rural Health)
112 W MADISON AVE
CHRISMAN, IL 61924
Clinic/Center (Rural Health)
112 W MADISON AVE
CHRISMAN, IL 61924

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 Louwanna Wallace's NPI number?

The NPI number for Louwanna Wallace is 1649304882. It was assigned to this individual provider in the NPPES registry on March 16, 2007. The provider is also known as Louwanna Marie Conard.

Where is Louwanna Wallace located?

Louwanna Wallace practices at 112 W Madison Ave, Chrisman, IL 61924. The listed phone number is (217) 269-2394.

What is Louwanna Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Louwanna Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.