Wellformed AI

NPI 1023409554 · live from the CMS NPI Registry

Allena Douglas

Registered Nurse, Case Management in Fort Stewart, GA. National Provider Identifier 1023409554, active.

NPI record

NPI1023409554 Type 1 · individual
StatusActive
Primary specialtyRegistered Nurse, Case Management 163WC0400X
Practice location1061 Harmon Ave, Fort Stewart, GA 31314
Practice phone912-435-5564
EnumeratedFebruary 5, 2015
Last updatedFebruary 5, 2015
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse163W00000XRN1510774 (GA)
Registered Nurse, Addiction (Substance Use Disorder)163WA0400XRN1510774 (GA)
Registered Nurse, Administrator163WA2000XRN1510774 (GA)
Registered Nurse, Case Management primary163WC0400XRN1510774 (GA)
Registered Nurse, Community Health163WC1500Xrn1510774 (GA)
Registered Nurse, Continuing Education/Staff Development163WC1600XRN1510774 (GA)
Registered Nurse, Emergency163WE0003Xrn1510774 (GA)
Registered Nurse, General Practice163WG0000XRN1510074 (GA)
Registered Nurse, Gerontology163WG0600Xrn1510774 (GA)
Registered Nurse, Home Health163WH0200XRN1510774 (GA)
Registered Nurse, Hospice163WH1000Xrn1510774 (GA)
Registered Nurse, Maternal Newborn163WM0102XRN1510774 (GA)
Registered Nurse, Psych/Mental Health, Child & Adolescent163WP0807Xrn1510774 (GA)
Registered Nurse, Psych/Mental Health, Adult163WP0809Xrn1510774 (GA)
Registered Nurse, Ambulatory Care163WP2201Xrn1501774 (GA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.