ALLYSON BLUE NP NPI 1184288730

NPI Information

  • NPI: 1184288730
  • Provider Name: ALLYSON BLUE, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7870 WATERLACE DR
    FAIRBURN, GA
    ZIP 30213
  • Phone: (404) 542-5017

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NPI Details

Allyson Blue, NP is an adult health nurse practitioner in Fairburn, GA with 6 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
1163WC0400XRegistered NurseCase ManagementRN086104GEORGIANo
2363LA2200XNurse PractitionerAdult HealthRN086104GEORGIAYes
3163WH0200XRegistered NurseHome HealthRN086104GEORGIANo
4163WI0500XRegistered NurseInfusion TherapyRN086104GEORGIANo
5363LG0600XNurse PractitionerGerontologyRN086104GEORGIANo

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: 11/21/2025

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