ALLYSON BLUE NP NPI 1184288730

NPI Information

NPI: 1184288730
Provider Name: ALLYSON BLUE, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
7870 WATERLACE DR
FAIRBURN, GA
ZIP 30213
Phone: (404) 542-5017
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Allyson Blue, NP is an adult health nurse practitioner in Fairburn, GA with 4 years of experience. Allyson Blue, NP NPI is 1184288730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7870 WATERLACE DR
FAIRBURN, GA
ZIP 30213-647
Phone: (404) 542-5017

The NPI 1184288730 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/30/2019 and was last updated on 3/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0400X	Registered Nurse	Case Management	RN086104	GEORGIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	RN086104	GEORGIA	Yes
3	163WH0200X	Registered Nurse	Home Health	RN086104	GEORGIA	No
4	163WI0500X	Registered Nurse	Infusion Therapy	RN086104	GEORGIA	No
5	363LG0600X	Nurse Practitioner	Gerontology	RN086104	GEORGIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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