Doctor Name: | CHERYL A. ALLEN |
NPI Number: | 1013937168 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN133571 |
Business Practice Address: | 1061 Harmon Ave, Ste 1003 Winn Army Community Hospital Fort Stewart, GA - 313145611 |
Business Phone Number: | 9123153991 |
Business Fax Number: | 9123154927 |
Mailing Address: | 1061 Harmon Ave, Ste 1003, Winn Army Community Hospital FORT STEWART |
State: | GA |
Postal Code: | 313145611 |
Phone Number: | 9123153991 |
Fax Number: | 9123154927 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 10/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN133571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |