Individual
ALLENA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5564
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1510774
GA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN1510774
GA
163WA2000X
Administrator Registered Nurse
RN1510774
GA
163WC0400X
Case Management Registered Nurse
Primary
RN1510774
GA
163WC1500X
Community Health Registered Nurse
RN1510774
GA
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN1510774
GA
163WE0003X
Emergency Registered Nurse
RN1510774
GA
163WG0000X
General Practice Registered Nurse
RN1510074
GA
163WG0600X
Gerontology Registered Nurse
RN1510774
GA
163WH0200X
Home Health Registered Nurse
RN1510774
GA
163WH1000X
Hospice Registered Nurse
RN1510774
GA
163WM0102X
Maternal Newborn Registered Nurse
RN1510774
GA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN1510774
GA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN1510774
GA
163WP2201X
Ambulatory Care Registered Nurse
RN1501774
GA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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