Search › Louisiana › 363LF0000X
Ciji Wallace, RN-FNP
NPI 1487455036 · on the registry since 2025
Practice
- Address
- 219 S Border Dr
Bogalusa, LA 70427 - Phone
- (985) 633-1952
- Fax
- (985) 732-4458
- Organisation at this address
- Clinics Of The Southeast Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
163W00000X - Licence states on file
- MS, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-14
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 Louisiana