Allen, Jacqueline D

Allen, Jacqueline D is an individual health care provider with primary practice located at 210 Black Gold Blvd Ste 106, Hazard KY 41701-2620. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Allen, Jacqueline D can be contacted via phone (606) 436-0711.

Contact Information

Primary practice address
210 Black Gold Blvd Ste 106 Hazard KY 41701-2620
Phone: (606) 436-0711
Fax: (606) 435-1322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3009147 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3009147 Kentucky

Profile Details

NPI number 1730578121
LBN Legal business name Allen, Jacqueline D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2015
Last updated May 13th, 2021 - about 3 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 1730578121 NPPES
Kentucky Other 3009147 LICENSE

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