Allen, Florida

Allen, Florida is an individual health care provider with primary practice located at 3362 S 3Rd St , Memphis TN 38109-2944. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Allen, Florida can be contacted via phone (901) 701-2510.

Contact Information

Primary practice address
3362 S 3Rd St Memphis TN 38109-2944
Phone: (901) 701-2510
Fax: (901) 260-8598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19576 Tennessee

Profile Details

NPI number 1003206657
LBN Legal business name Allen, Florida
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2015
Last updated Mar 30th, 2016 - about 8 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003206657 NPPES
Tennessee MEDICAID Q013164

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