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MRS. SONDRA ANN WALLACE
NPI 1275074783
Licensed Practical Nurse in Quitman, GA

Active since March 16, 2017
96 PERDUE RD, QUITMAN, GA 31643(229) 272-4376 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Sondra Ann Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SONDRA ANN WALLACE (NPI 1275074783) is an individual licensed practical nurse in Quitman, Georgia, licensed in Florida (PN5179834) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1275074783
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. SONDRA ANN WALLACE
Location Address96 PERDUE RDQuitman, GA 31643-3648
Mailing Address96 Perdue RdQuitman, GA 31643-3648 · (229) 272-4376
Phone(229) 272-4376
Sole ProprietorYes
Enumeration DateMarch 16, 2017
✔ NPI 1275074783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in FL · PN5179834
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
96 PERDUE RD, Quitman, GA 31643
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sondra Wallace's NPI number?

The NPI number for Sondra Wallace is 1275074783. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Where is Sondra Wallace located?

Sondra Wallace practices at 96 Perdue Rd, Quitman, GA 31643. The listed phone number is (229) 272-4376.

What is Sondra Wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Sondra Wallace was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.