Individual provider · NPI-1
Wanda Allen, DNP, MSN, AGNP-C
Nurse Practitioner · Pelham, GA
NPI number1104431568
StatusActive
Last updated in NPPESJan 27, 2026
Details
- NPI
- 1104431568
- Entity type
- Individual (NPI-1)
- Name
- Wanda Allen
- Credential
- DNP, MSN, AGNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2020
- Certification date
- Jan 27, 2026
- Last updated
- Jan 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN142481 | GA | Yes |
Practice location
2800 Landfill RdPelham, GA 31779-5960
Phone 229-328-6555
Mailing address
Po Box 386Pelham, GA 31779-0386
Phone 229-328-6555
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