MRS. HOLLY ALLEN (NPI# 1003388679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003388679 |
Entity Type | Individual |
Full Name | MRS. HOLLY ALLEN |
Credential | AGACNP-BC |
Practice Address |
460 Northside Cherokee Blvd Ste 100 Canton GA 30115-8017 |
Practice Telephone | 7702923490 |
Practice Fax Number | 7707215615 |
Mailing Telephone | 7702923490 |
Mailing Fax Number | 7707215615 |
Enumeration Date | 2018-12-20 |
Last Update Date | 2019-12-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN226149 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376931006 | Holly Allen | Speech-Language Pathologist | 2529 Hazelwood Rd, Barlow, KY 42024-9722 | 2015-01-05 |
1912418542 | Holly Frances Allen | Counselor | 2706 Ankeny Way, Rock Springs, WY 82901-5649 | 2017-10-23 |
1447775374 | Holly Allen | Physical Therapist | 5423 Hamilton Wolfe Rd, San Antonio, TX 78229-4344 | 2017-08-11 |
1053767665 | Holly Allen | Occupational Therapy Assistant | 48 W Colt Square Dr, Fayetteville, AR 72703-2813 | 2016-05-12 |
1780008565 | Holly Allen | Counselor | 1515 Palm Ave, Suite A, San Diego, CA 92154-1011 | 2014-02-13 |
1598029720 | Holly Ann Allen | Nutritionist | 13000 Bruce B. Downs Boulevard, Tampa, FL 33612-4745 | 2012-07-03 |
1902084817 | Holly Allen | Technician, Other | 1010 Mount Zion Rd, Union City, TN 38261-7694 | 2008-02-01 |
1700080090 | Holly Allen | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2007-06-12 |
Street Address |
460 NORTHSIDE CHEROKEE BLVD STE 100 |
City | CANTON |
State | GA |
Zip Code | 30115-8017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134188105 | Eddy Toussaint | Physician Assistant | 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115-8017 | 2006-03-20 |
1477972982 | Cheney Fenn Wilson | Surgery | 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115-8017 | 2014-04-11 |
1154504082 | Edward Park Kang | Surgery | 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115-8017 | 2007-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
Find all providers in zip 30115 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447872965 | Gagan Preet Kaur Dhaliwal | Nurse Practitioner | 45418 Glengarry Blvd, Canton, MI 48188-3001 | 2020-05-07 |
1295387066 | Amber Dabelstein | Nurse Practitioner | 6131 Fairborn Dr, Canton, MI 48187-5624 | 2019-07-11 |
1619533536 | Murshed Nawaz | Nurse Practitioner | 543 Foster St, Canton, TX 75103-1905 | 2019-05-15 |
1871018903 | James Adam Carr | Nurse Practitioner | 6613 Chadwick Dr, Canton, MI 48187-1639 | 2017-08-09 |
1699296871 | Marcelina Reyes Socie | Nurse Practitioner | 2050 N Haggerty Rd Ste 100, Canton, MI 48187-3796 | 2017-06-28 |
1427418409 | Telehealthone, LLC | Nurse Practitioner | 1301 East Peace Street, Canton, MS 39046-7900 | 2016-03-03 |
1730788647 | Gwendolyn Shumaker | Nurse Practitioner | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-10-21 |
1316553175 | Victoria Watt | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-17 |
1164077434 | Chetna Patel | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2019-08-05 |
1811557515 | Sara M Fichter | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2019-06-17 |
Find all providers in CANTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.