Individual
MRS. DENISE JOHNSON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-2992
Mailing address
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607-1400
(063) 532-9927
(706) 353-2992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN123212
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285826271
BCBS,UNITED HEALTHCARE,ATHENS AREA HEALTH
GA
05
—
1285826271
—
GA
Enumeration date
08/14/2007
Last updated
01/07/2025
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