Individual
WANDA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, MSN, AGNP-C
Contact information
Practice address
2800 LANDFILL RD, PELHAM, GA 31779-5960
(229) 328-6555
Mailing address
PO BOX 386, PELHAM, GA 31779-0386
(229) 328-6555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN142481
GA
Other
Enumeration date
09/12/2020
Last updated
01/27/2026
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