Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carmen Nicole Wallace

Individual provider Case Manager/Care Coordinator · NPI 1215878517

Carmen Nicole Wallace is a Case Manager/Care Coordinator in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2026.

Licensed in
AR
In the registry since
2026
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 107
Little Rock, AR 72203-0107
Phone: (501) 492-6505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence R066520 (AR)

Record details

NPI number1215878517
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

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