Allen, Audrey Kay
Allen, Audrey Kay is an individual health care provider with primary practice located at 1 Medical Center Blvd , Cookeville TN 38501-4294. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Allen, Audrey Kay can be contacted via phone (931) 783-2497.Contact Information
Primary practice address
1 Medical Center Blvd
Cookeville TN 38501-4294
Phone: (931) 783-2497
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 20725 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4704219757 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 4704219757 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 0385214 | Kentucky |
Profile Details
NPI number | 1790870194 |
---|---|
LBN Legal business name | Allen, Audrey Kay |
Credentials | NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2006 |
Last updated | May 21st, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790870194 | NPPES |
Kentucky | MEDICAID | 7100463030 | |
Kentucky | MEDICAID | Q025810 |
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