JENNIFER ALLEN (NPI# 1104474626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104474626 |
| Entity Type | Individual |
| Full Name | JENNIFER ALLEN |
| Practice Address |
308 Mattox Dr Elberton GA 30635-1942 |
| Practice Telephone | 7069610812 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809151 | Jennifer Allen | Behavior Technician | #786 Cr 6100, Fruitland, NM 87416 | 2020-04-15 |
| 1598307886 | Jennifer L Allen | Student in an Organized Health Care Education/Training Program | 9916 S 67th East Ave, Tulsa, OK 74133-6207 | 2019-10-08 |
| 1821644808 | Jennifer Aileen Allen | Nurse Practitioner | 11551 Mountain Turtle Dr, Colorado Springs, CO 80921-3916 | 2019-08-14 |
| 1730640889 | Jennifer Allen | Registered Nurse | 2205 N University Dr Unit 8, Waukesha, WI 53188-1490 | 2019-03-29 |
| 1285101196 | Jennifer Allen | Counselor | 3010 Denny Brooke Ln, Smyrna, TN 37167-3968 | 2018-10-29 |
| 1669956140 | Jennifer Allen | Social Worker | 10 Johnson Rd, Andover, MA 01810-1712 | 2018-09-20 |
| 1821574971 | Jennifer Allen | Pharmacist | 625 Lincoln Hwy, Fairview Heights, IL 62208-2121 | 2018-07-12 |
| 1508365917 | Jennifer Joan Allen | Counselor | 105 Terrace Drive, Po Box 288, Stroudsburg, PA 18360 | 2018-02-12 |
| 1356840227 | Jennifer Allen | Social Worker | 2150 S Canalport Ave Ste 4c5, Chicago, IL 60608-3850 | 2018-02-06 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| Street Address |
308 MATTOX DR |
| City | ELBERTON |
| State | GA |
| Zip Code | 30635-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275950602 | Frank Thomas Varney | General Practice | 3557 Calhoun Falls Hwy, Elberton, GA 30635 | 2014-03-24 |
| 1922348291 | Tammy Heard Host Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Upshaw Dr, Elberton, GA 30635 | 2013-02-25 |
| 1043593031 | Jeffrey Allen Burke | Pharmacist | 18 College Ave., Walgreens #11166, Elberton, GA 30635 | 2011-09-26 |
| 1467698886 | Ingles Markets Inc | Pharmacy | 903 Elberton St, Elberton, GA 30635 | 2009-01-07 |
| 1629149141 | Elbert County School District | Local Education Agency (LEA) | 50 Laurel Drive, Elberton, GA 30635 | 2006-11-13 |
| 1588745707 | Carl Mankiewicz | Chiropractor | 14 Laurel Dr, Elberton, GA 30635 | 2006-10-17 |
| 1194991349 | Denise Vernall Clark | Emergency Medical Technician, Intermediate | 258 S Thomas Street, Elberton, GA 30635 | 2008-05-07 |
| 1215106422 | City of Angels | Non-emergency Medical Transport (VAN) | 258 S Thomas Street, Elberton, GA 30635-0000 | 2008-02-22 |
| 1982964821 | Suzanne Peers Moore | Counselor | 93 Carey St, Elberton, GA 30635-1435 | 2012-05-25 |
| 1255601597 | G Daniel Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 242 N Oliver St, Elberton, GA 30635-1444 | 2012-01-04 |
| Find all providers in zip 30635 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214183 | Julia Mcenhill | Technician | 10 Evonshire Dr, Sharpsburg, GA 30277-3266 | 2020-10-28 |
| 1497352884 | Ernestine Atwater | Technician | 1962 Twin Falls Rd, Decatur, GA 30032-6070 | 2020-10-08 |
| 1952916207 | Nitza Chea Bishop | Technician | 151 Chulio Rd Se, Rome, GA 30161-8496 | 2020-09-14 |
| 1174137822 | Nettie Pearl Smith | Technician | 2919 Lonesome Rd, Albany, GA 31721-5644 | 2020-09-01 |
| 1255943478 | David Williams Jr. | Technician | 126 Thompson St, Cusseta, GA 31805-3945 | 2020-08-19 |
| 1750992913 | Phyllis Denise Haynes | Technician | 1111 Glenwood Ln, Bogart, GA 30622-2396 | 2020-08-12 |
| 1306464037 | Vickie Moore | Technician | 1639 Breeds Hill Loop, Columbus, GA 31907-7430 | 2020-07-09 |
| 1275150542 | Quindeic Rhones | Technician | 2556 Miles St, Augusta, GA 30906-5326 | 2020-07-02 |
| 1083231476 | Martha Crawford | Technician | 593 Crawford St Se, Dawson, GA 39842-2041 | 2020-07-01 |
| 1356967350 | Gloria Foster | Technician | 8643 Crenshaw Dr, Grovetown, GA 30813-8322 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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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.