Individual
MRS. JENNIE CARLENE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2365 GA HIGHWAY 18 W, GRAY, GA 31032-4011
(478) 986-1473
(478) 986-1280
Mailing address
2365 GA HIGHWAY 18 W, GRAY, GA 31032-4011
(478) 986-1473
(478) 986-1280
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN149998
GA
Other
Enumeration date
05/16/2007
Last updated
07/09/2007
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