Individual
MR. JEREMY D ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3201 MACON RD STE 109, COLUMBUS, GA 31906-1741
(706) 225-8773
Mailing address
9431 LEE ROAD 240, PHENIX CITY, AL 36870-9211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-137953
AL
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP001339
GA
Other
Enumeration date
07/06/2022
Last updated
10/31/2023
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