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NPI Code Detail

MEDICARE: MR. JOSHUA BROOKS ALLEN FNP

MEDICARE: MR. JOSHUA BROOKS ALLEN FNP
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
1163W00000XRegistered NurseR265483MD
2363LF0000XFamily Nurse PractitionerR265483MD
3363LF0000XFamily Nurse PractitionerRN334335GA

General Provider Information

NPI Number : 1346008877
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSHUA BROOKS ALLEN FNP
Provider Business Mailing Address
First Line : PO BOX 1520
Second Line :
City : HINESVILLE
State : GA
Zip : 31310-8520
Country : US
Telephone Number : 912-877-2227
Fax Number : 912-877-2332
Provider Business Practice Location Address
First Line : 303 FRASER DR
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-3712
Country : US
Telephone Number : 912-877-2227
Fax Number : 912-877-2332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2024
Last Update Date : 01/07/2026

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