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

Shannon Wallace

Individual provider Doula · NPI 1114808110

Shannon Wallace is a Doula in Winchester, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

31835 Emerald Dr
Winchester, CA 92596-9080
Phone: (210) 589-0046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Doula (primary) Taxonomy 374J00000X (CA)

Record details

NPI number1114808110
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address31835 Emerald Dr, Winchester, CA 92596-9080

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