Heather Nicole Allen, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Norcross, GA
NPI 1134843998 · NPPES record last updated Sep 13, 2023
Key facts
- NPI
- 1134843998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN223586 (GA)
- Practice address
- 1626 Jeurgens CT
Norcross, GA 30093-2219 - Phone
- (770) 806-6818
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221111001318 | GA | Practitioner - Nurse Practitioner | 2365819869 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN223586 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pruitthealth Physicians Services, LLC | Family | Current |
Accepting new patients |
Locations
1067 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (406) 858-2000
1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN223586 | GA | Yes |
Addresses
Primary practice location
1626 Jeurgens CT
Norcross, GA 30093-2219
Mailing address
707 Elliott Dr NW
Rome, GA 30165-1280
Phone (706) 936-5164
Other providers in Norcross, GA
- Align Specialty Care, LLC
- Alixa RX LLC
- All Comfort Hospice LLC
- All Kids First Early Intervention Services, LLC.
- Ashli Allen
- Stanley Michael Eugene Allen
- Allwell Pharmacy Inc.
- Alpha Home Care Services, LLC
- Marianne Altares
- Cassandra Alvarez
All providers in Norcross, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.