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

Mrs. Dionne Lanette Wallace, MSNRNCNL

Individual provider Medical-Surgical Registered Nurse · NPI 1386163830

Mrs. Dionne Lanette Wallace, MSNRNCNL is a Medical-Surgical Registered Nurse in Eastpointe, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
Specialties on file
2

Practice location Address checks out

15730 Mok Ave
Eastpointe, MI 48021-2367
Phone: (586) 241-7088
Fax: (585) 585-9555
Show map & directions

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

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence 4704260135 (MI)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 4704260135 (MI)

Record details

NPI number1386163830
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNRNCNL
Sole proprietorYes
NPI enumeratedSeptember 15, 2017
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023