Individual provider · Type 1 NPI

Wanda Allen, DNP, MSN, AGNP-C

Nurse Practitioner · Pelham, GA

NPI number 1104431568 Active

Practice location

2800 Landfill Rd
Pelham, GA 31779-5960

Mailing address

PO Box 386
Pelham, GA 31779-0386

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN142481 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1104431568

Wanda Allen, DNP, MSN, AGNP-C's National Provider Identifier is 1104431568, issued on Sep 12, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pelham, GA. The record was last updated on Jan 27, 2026.