MEDICARE: MS. JANE MCCURDY ALLEN RNFA

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	163WR0006X	Registered Nurse First Assistant	RN099869	GA

General Provider Information

NPI Number	:	1558562405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANE MCCURDY ALLEN RNFA

Provider Business Mailing Address
First Line	:	2230 LIBERTY HILL CHURCH RD
Second Line	:
City	:	MONROE
State	:	GA
Zip	:	30655-5828
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2230 LIBERTY HILL CHURCH RD
Second Line	:
City	:	MONROE
State	:	GA
Zip	:	30655-5828
Country	:	US
Telephone Number	:	770-207-9414
Fax Number	:

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	07/08/2007

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