Individual
MRS. VIVIAN L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
2500 STARLING ST STE 501, BRUNSWICK, GA 31520-4270
(912) 466-4050
(912) 261-0226
Mailing address
2500 STARLING ST STE 501, BRUNSWICK, GA 31520-4270
(912) 466-4050
(912) 261-0226
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN134633
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
644542189A
—
GA
01
—
P00444575
RAILROAD MEDICARE
GA
Enumeration date
10/20/2006
Last updated
06/16/2025
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