Ciji Deyuana Wallace, RN-FNP
Family Nurse Practitioner · Bogalusa, LA
Ciji Deyuana Wallace, RN-FNP is a family nurse practitioner with a practice address in Bogalusa, Louisiana, and NPI 1487455036, issued on Mar 20, 2025. Check the license (Louisiana 240977, as entered in NPPES) with the Louisiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ciji Deyuana Wallace
- Credential
- RN-FNP
- Primary taxonomy
- Family Nurse Practitioner 363LF0000X
- License numbers
- 240977 LA
907340 MS
913403 MS
Self-reported in NPPES; status is on the state search - Practice location
- 219 S Border Dr, Bogalusa, LA 70427
- Phone
- (985) 633-1952
- Enumerated
- Mar 20, 2025
- Record last updated
- Oct 14, 2025
- Fax
- (985) 732-4458
- Medicare enrollment
- Enrolled (PECOS I20260430000977); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 219 S Border Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Anna Axum, M.S., CCC-SLPSpeech-Language Pathologist1477490209
Verify Ciji Deyuana Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Louisiana board licenses this profession
Search for license 240977Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2 hospitals and group practices
- Memorial Hospital AT GulfportGulfport, MS · Acute Care Hospitals3 of 5 stars
- Clinics OF The Southeast LLCBogalusa, LA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
18 family nurse practitioner records list a practice address in Bogalusa
They are 18 of the 315 NPPES records with a practice address in Bogalusa, and 4,503 family nurse practitioner records in Louisiana.
All 18 in Bogalusa → All 4,503 in Louisiana → Every provider in Bogalusa →
Other family nurse practitioner records in Louisiana
- Julianna Aaron, FNP-CShreveport, LA1922466788
- Cayla Abad, FNP-CBaton Rouge, LA1518611706
- Brooke Abadie, NPBaton Rouge, LA1013833565
- Tori AbbessBaton Rouge, LA1881433324
- Kimberly Abbott, N.P.Prairieville, LA1740203041
- Halimo Abdi, APRNLafayette, LA1053041491
- Karen Abel, APRN, CFNPIowa, LA1952475717
- Michael Abernathy, FNP-CNew Orleans, LA1518891142
- Amy Ables, NPBaton Rouge, LA1649919986
- Sh'Derrica Abner, FNPShreveport, LA1972368546
Common questions
What is Ciji Deyuana Wallace, RN-FNP's NPI number?
Ciji Deyuana Wallace, RN-FNP's National Provider Identifier (NPI) is 1487455036, issued on Mar 20, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Ciji Deyuana Wallace, RN-FNP located?
The NPPES record lists a practice address at 219 S Border Dr, Bogalusa, LA, 70427. Phone: (985) 633-1952. Providers update this record themselves, so call before visiting.
How can I verify Ciji Deyuana Wallace, RN-FNP's license?
NPPES lists Louisiana license number 240977, as entered by the provider. Search the Louisiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.