Ciji Deyuana Wallace, FNP, RN
- Hospital affiliations
- 2
- Medical groups
- 2
- State licenses
- 2
- Year NPI issued
- 2025
- Practice address
- 4500 13th Street, Gulfport, MS 39502
- Practice phone
- Call (228) 867-4000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Ciji Wallace's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Ciji Deyuana Wallace is a family nurse practitioner in Gulfport, Mississippi
Ciji Wallace practices at Memorial Hospital Gulfport in Gulfport, Mississippi, part of Gulfport Main Street Association.
Ciji Wallace's NPI, 1487455036, was assigned on March 20, 2025. Ciji Wallace holds Louisiana license 240977.
- NPI
- 1487455036NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3577061886
- NPI enumeration date
- March 20, 2025
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (228) 867-4000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 28
- Medical school graduation
- 2024
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Ciji Deyuana Wallace practices at Memorial Hospital Gulfport in Gulfport, Mississippi
Ciji Wallace's primary practice is Memorial Hospital Gulfport, at 4500 13th Street, Gulfport, MS 39502 in Harrison County. The practice phone is (228) 867-4000.
- Memorial Hospital Gulfport4500 13th Street, Gulfport, MS 39502 · Harrison CountyPhone(228) 867-4000
Source: Dmand AI Affiliation Data
Ciji Deyuana Wallace is affiliated with 3 sites of care and 2 medical groups
Ciji Wallace's primary practice is Memorial Hospital Gulfport in Gulfport, Mississippi, part of Gulfport Main Street Association. Ciji Wallace is also affiliated with Select Specialty Hospital - Gulf Coast. The medical group on file is Memorial Hospital at Gulfport. Dmand AI also links Ciji Wallace to 1 more rural health clinic and 1 medical group, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Ciji Deyuana Wallace's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Ciji Wallace practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Memorial Hospital Gulfport | Available with a free account |
| +2 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Gulfport Main Street Association and 6.2K+ hospitals, with verified contacts in the same login.
Ciji Deyuana Wallace is one of 2,824 family nurse practitioners in Mississippi
Family is Ciji Wallace's primary specialty in the NPI Registry, under taxonomy code 363LF0000X. Dmand AI has Ciji Wallace's licenses on file in 2 states: Louisiana and Mississippi.
Specialties and state licenses
- Family nurse practitioner, LouisianaPrimary
- Registered nurse, Mississippi
Family nurse practitioners near Ciji Wallace
Counts of family nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Ciji Deyuana Wallace's patients have a median age of 64
Across all payers, Dmand AI patient panel data puts Ciji Wallace's median patient age at 64, with 66% women.
Ciji Wallace's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 64
Patient panel by sex, all payers
- Women66%
- Men34%
Source: Dmand AI Patient Panel Data
How Ciji Deyuana Wallace takes part in Medicare
Ciji Wallace accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Ciji Deyuana Wallace's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Ciji Deyuana Wallace
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Ciji Deyuana Wallace's NPI number?
Ciji Deyuana Wallace's NPI number is 1487455036. It was assigned on March 20, 2025, and it is active in the NPI Registry.
What does Ciji Deyuana Wallace specialize in?
Ciji Deyuana Wallace is a family nurse practitioner in Gulfport, Mississippi. The primary specialty in the NPI Registry is Family Nurse Practitioner (taxonomy code 363LF0000X).
Where does Ciji Deyuana Wallace practice?
Ciji Wallace practices at 4500 13th Street, Gulfport, MS 39502. Ciji Wallace's primary practice is Memorial Hospital Gulfport in Gulfport, Mississippi, part of Gulfport Main Street Association. Dmand AI also links Ciji Wallace to 1 rural health clinic and 1 medical group.
What is Ciji Deyuana Wallace's office phone number?
The practice phone on file for Ciji Wallace is (228) 867-4000.
What is Ciji Deyuana Wallace's medical license number?
Ciji Wallace holds Louisiana license 240977, one of the licenses on file in 2 states.
Which states has Ciji Deyuana Wallace been licensed in?
Dmand AI has state licenses on file for Ciji Wallace in Louisiana and Mississippi.
Which hospitals is Ciji Deyuana Wallace affiliated with?
Ciji Wallace practices at Memorial Hospital Gulfport in Gulfport, Mississippi. Ciji Wallace is also affiliated with Select Specialty Hospital - Gulf Coast.
What medical group is Ciji Deyuana Wallace part of?
Ciji Wallace is linked to Memorial Hospital at Gulfport. Dmand AI links Ciji Wallace to 1 more medical group.
Does Ciji Deyuana Wallace accept Medicare?
Yes. CMS lists Ciji Wallace as accepting Medicare assignment.
How long has Ciji Deyuana Wallace been practicing?
Ciji Wallace graduated from medical school in 2024, 2 years ago.
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