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NPI Code Detail

MEDICARE: JANE NIX ALLEN FNP-C

MEDICARE: JANE NIX ALLEN FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN072414GA

General Provider Information

NPI Number : 1326084187
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE NIX ALLEN FNP-C
Provider Business Mailing Address
First Line : 56 DERBY LN
Second Line :
City : CLEVELAND
State : GA
Zip : 30528-8222
Country : US
Telephone Number : 706-865-2595
Fax Number :
Provider Business Practice Location Address
First Line : 2578 HELEN HWY
Second Line :
City : CLEVELAND
State : GA
Zip : 30528-2848
Country : US
Telephone Number : 706-348-4280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 07/08/2016

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