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

Lesley Diane Wallace

Individual provider Registered Nurse · NPI 1417763632

Lesley Diane Wallace is a Registered Nurse in Mountain View, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2024

Practice location Address checks out

1103 E Main St Ste C
Mountain View, AR 72560-4007
Phone: (870) 200-6995
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 216734 (AR)

Record details

NPI number1417763632
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

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