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Individual

JENNY ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-4067
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-4067

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
12345678
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP030400
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/07/2022
Last updated
08/18/2025
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