Individual provider · Type 1 NPI
Jacob Allen, NP
Family Nurse Practitioner · Atlanta, GA
NPI number
1659753200
Active
Practice location
275 Collier Rd NW, Suite 500
Atlanta, GA 30309-1709
Fax (404) 351-5983
Mailing address
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN195213 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659753200
Jacob Allen, NP's National Provider Identifier is 1659753200, issued on Jun 19, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on Sep 22, 2015.