MEDICARE: CLAUDETTE ALLEN RN

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
1	163W00000X	Registered Nurse	RN340487	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407732704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDETTE ALLEN RN

Provider Business Mailing Address
First Line	:	682 RIVER COVE CT
Second Line	:
City	:	DACULA
State	:	GA
Zip	:	30019-2099
Country	:	US
Telephone Number	:	404-793-1358
Fax Number	:

Provider Business Practice Location Address
First Line	:	682 RIVER COVE CT
Second Line	:
City	:	DACULA
State	:	GA
Zip	:	30019-2099
Country	:	US
Telephone Number	:	404-793-1358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2025
Last Update Date	:	02/20/2026

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Directions to “ CLAUDETTE ALLEN RN” Practice Location

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