SHANNON WALLACE HOME HEATH AIDE
NPI 1750757340
Home Health Aide in Lakeland, FL
About Shannon Wallace Home Heath Aide NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON WALLACE HOME HEATH AIDE (NPI 1750757340) is an individual home health aide in Lakeland, Florida and active in the NPI registry since August 2015.
NPPES Registry Identity
Specialties & Licenses
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 Shannon Wallace's NPI number?
The NPI number for Shannon Wallace is 1750757340. It was assigned to this individual provider in the NPPES registry on August 18, 2015.
Where is Shannon Wallace located?
Shannon Wallace practices at 636 Candyce Ave, Lakeland, FL 33815. The listed phone number is (863) 614-4071.
What is Shannon Wallace's specialty?
The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.
When was this NPI record last updated?
The NPPES record for Shannon Wallace was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Shannon Wallace, HOME HEATH AIDE · NPI 1750757340
Home Health Aide provider in Lakeland, Florida. Individual provider, active in the CMS NPPES registry since August 18, 2015.
## Identity
- **NPI:** 1750757340 (Entity type: Individual)
- **Enumerated:** August 18, 2015
- **Primary specialty:** Home Health Aide · taxonomy 374U00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 636 CANDYCE AVE, Lakeland, FL 33815-1202
- **Phone:** (863) 614-4071
## Record status
- **NPPES last updated:** August 18, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1750757340) · Data from the CMS NPPES public registry.