SHANNON WALLACE HOME HEATH AIDE
NPI 1750757340
Home Health Aide in Lakeland, FL

Active since August 18, 2015
636 CANDYCE AVE, LAKELAND, FL 33815(863) 614-4071 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1750757340
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameSHANNON WALLACECredential: HOME HEATH AIDE
Location Address636 CANDYCE AVELakeland, FL 33815-1202
Mailing Address636 Candyce Ave, SameLakeland, FL 33815-1202 · (863) 614-4071
Sole ProprietorNo
Enumeration DateAugust 18, 2015
NPI 1750757340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

636 CANDYCE AVE, Lakeland, FL 33815

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 with the weekly NPPES data releases published by CMS.