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

Payton A Wallace

Individual provider Case Manager/Care Coordinator · NPI 1265115554

Payton A Wallace is a Case Manager/Care Coordinator in Fayetteville, Arkansas. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

60 W Sunbridge Dr
Fayetteville, AR 72703-1822
Phone: (479) 695-1240
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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

Record details

NPI number1265115554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 11, 2023
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address60 W Sunbridge Dr, Fayetteville, AR 72703-1822

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