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NPI Profile for TYCHELLE ALLEN in DECATUR, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1134648595 |
|
| Status | Active | |
| Credentials | NP-C (Nurse Practitioner - Certified) | |
| Entity | Individual | |
| Enumeration date | 09/16/2017 | |
| Last updated | 04/17/2026 - About 2 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TYCHELLE ALLEN
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TYCHELLE ALLEN, NP-C