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

Dionne H Wallace, CNP

Individual provider Family Nurse Practitioner · NPI 1417456989

Dionne H Wallace, CNP is a Nurse Practitioner in Maumelle, Arkansas. Qualified in 2017, 9 years ago. Practices with Urgent Team of Arkansas Physicians LLC, a 155-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
9
Licensed in
AR
In the registry since
2018
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1900 Club Manor Dr Ste 105
Maumelle, AR 72113-7443
Phone: (501) 851-8100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1016 N Fourche Ave, Perryville, AR 72126-8545 — (501) 238-1284
  • 106 Highway 62 W, Salem, AR 72576-8059 — (870) 895-2015

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A005504 (AR)

Record details

NPI number1417456989
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedFebruary 9, 2018
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Urgent Team Of Arkansas Physicians Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maumelle