Doctor Name: | JANE NIX ALLEN |
NPI Number: | 1326084187 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | RN072414 |
Business Practice Address: | Navajo Route 4 - 2 Miles East Of Pinon Pinon, AZ - 86510 |
Business Phone Number: | 9287259500 |
Business Fax Number: | |
Mailing Address: | 56 Derby Ln, CLEVELAND |
State: | GA |
Postal Code: | 305288222 |
Phone Number: | 7068652595 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 10/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN072414 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |