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MRS. JENNIE CARLENE ALLEN CNM
>> Midwife, Certified Nurse >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1023224821
Individual Registrant:MRS. JENNIE CARLENE ALLEN CNM
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2365 GA HIGHWAY 18 W GRAY, GA 31032-4011 US
Tel: 478-986-1473 Fax: 478-986-1280
Tel: 478-986-1473 Fax: 478-986-1280
Contact information for business:
2365 GA HIGHWAY 18 W GRAY, GA 31032-4011 US
Tel: 478-986-1473 Fax: 478-986-1280
Tel: 478-986-1473 Fax: 478-986-1280
Registration Information:
NPI: 1023224821
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367A00000X | Physician Assistants & Advanced Practice Nursing Providers Midwife, Certified Nurse | GA | RN149998 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
