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

Individual provider Licensed Practical Nurse · NPI 1275074783

Mrs. Sondra Ann Wallace is a Licensed Practical Nurse in Quitman, Georgia. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
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Practice location Address checks out

96 Perdue Rd
Quitman, GA 31643-3648
Phone: (229) 272-4376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN5179834 (FL)

Record details

NPI number1275074783
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 16, 2017
Last updated in NPPESMarch 16, 2017