Mr. JEREMY D ALLEN FNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1124751110- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP
- Status
- Active
Contact & Location
- Address
- 3201 MACON RD STE 109, COLUMBUS, GA, 319061741
- Phone
- (706) 225-8773
Specialties & Taxonomies
Nurse Practitioner, Family
License: AL #1-137953
Nurse Practitioner, Family
Primary License: GA #GAA-NP001339
All Addresses
MAILING
9431 LEE ROAD 240
PHENIX CITY, AL, 368709211