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Carmen Wallace

NPI 1215878517 · on the registry since 2026

Practice

Address
Po Box 107
Little Rock, AR 72203
Phone
(501) 492-6505

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas