Individual
MRS. NESHUNTA VANNELL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5415 SUGARLOAF PARKWAY, STE 1108 #2895, LAWRENCEVILLE, GA 30043
(800) 567-9926
Mailing address
5415 SUGARLOAF PARKWAY, STE 1108 #2895, LAWRENCEVILLE, GA 30043
(800) 567-9926
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
LPN077616
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN077616
LPN LICENSE
GA
Enumeration date
02/28/2021
Last updated
02/28/2021
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