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Mrs. Sondra Ann Wallace
Licensed Practical Nurse in Quitman, Georgia
NPI 1275074783

Sondra Ann Wallace is a Licensed Practical Nurse based in Quitman, GA. Sondra Ann Wallace practices in Quitman, GA. The NPI Number for Sondra Ann Wallace is 1275074783 and holds a License No. PN5179834 (Georgia).

The current practice location address for Sondra Ann Wallace is 96 Perdue Rd, Quitman, GA and can be reached out via phone at 229-272-4376.

Location: 96 Perdue Rd, Quitman, GA, 31643-3648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275074783
Provider Name
Sondra Ann Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
96 Perdue Rd, Quitman, GA, 31643-3648
Phone Number
229-272-4376
Fax Number
Provider Enumeration Date
03/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
96 Perdue Rd
City
Quitman
State
Georgia
Zip
31643-3648
Phone Number
229-272-4376
Fax Number
person
Provider Business Mailing Address Details
Address
96 Perdue Rd
City
Quitman
State
Georgia
Zip
31643-3648
Phone Number
229-272-4376
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN5179834 (Florida)
Definition
An individual 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.
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