Individual
JENNIFER LEE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6000
Mailing address
31 E LARRY CIR, RINGGOLD, GA 30736-6409
(615) 927-6734
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN282512
GA
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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