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Contact Information

TERRIE H ALLEN, FNP-C,PMHNP-BC
7930 HIGHWAY 85 STE B
RIVERDALE, GA30274-3902
 Phone: 404-827-8971
 Fax: 470-236-0451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TERRIE H ALLEN · (Female)

NPI Number 1407109267
Status Active
Credentials FNP-C,PMHNP-BC
Entity Individual
Enumeration date 10/17/2012
Last updated 04/06/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # NCO-000001
  • GA License # RN195025
  • GA Medicaid 003137406D
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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