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

Jimmie Lou Wallace, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1326129958

Jimmie Lou Wallace, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Little Rock, Arkansas. Qualified in 2000, 26 years ago. Practices with Central Arkansas Radiation Therapy Institute Inc, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
26
Licensed in
AR
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

4301 W Markham St # 515
Little Rock, AR 72205-7101
Phone: (501) 686-8000
Fax: (501) 526-5148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5201 N Shore Dr, North Little Rock, AR 72118-5312 — (501) 748-8000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CO1312 (AR)

Record details

NPI number1326129958
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Central Arkansas Radiation Therapy Institute Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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