Jennie Carlene Allen, CNM
Individual provider Active NPI Advanced Practice Midwife · Gray, GA
NPI 1023224821 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1023224821
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- RN149998 (GA)
- Practice address
- 2365 Ga Highway 18 W
Gray, GA 31032-4011 - Phone
- (478) 986-1473
- Fax
- (478) 986-1280
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | RN149998 | GA | Yes |
Addresses
Primary practice location
2365 Ga Highway 18 W
Gray, GA 31032-4011
Mailing address
2365 Ga Highway 18 W
Gray, GA 31032-4011
Phone (478) 986-1473
Other providers in Gray, GA
- Affinis Hospice, LLC
- Eleanya Agwu
- Alexis Private Home Care, Inc.
- Amedisys Georgia, L.L.C.
- Aml Medical LLC
- Meredi A Anders
- Linda S Arnold
- Azalea Medical Transport LLC
All providers in Gray, GA · Advanced Practice Midwife in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.