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Mrs. Ciji Deyuana Wallace, RN-FNP

Family Nurse Practitioner in Bogalusa, LA · enumerated 2025 · practices at Clinics of the Southeast LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487455036

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Registry record

Entity type Individual (Type 1)
Name Mrs. Ciji Deyuana Wallace
Credential RN-FNP
Sex Female
Practice address 219 S Border Dr, Bogalusa, LA, 70427
Phone (985) 633-1952
Fax (985) 732-4458
Enumeration date Mar 20, 2025
Last updated in NPPES Oct 14, 2025

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 907340 (MS) Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 240977 (LA) Primary
163W00000X Registered Nurse Nursing Service Providers · License 913403 (MS) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ciji Wallace?
The National Provider Identifier (NPI) for Ciji Wallace is 1487455036, a Type 1 (individual) record in the CMS NPPES registry.
Where does Ciji Wallace practice?
The practice location on file with NPPES is in Bogalusa, LA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-14.