Allen, Jeanne M

Allen, Jeanne M is an individual health care provider with primary practice located at 610 Florence Ave , Owatonna MN 55060-4704. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent is her primary health care specialty. Allen, Jeanne M can be contacted via phone (507) 451-2630.

Contact Information

Primary practice address
610 Florence Ave Owatonna MN 55060-4704
Phone: (507) 451-2630
Fax: (507) 455-8133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP3166 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X R077626-6 Minnesota

Profile Details

NPI number 1417938242
LBN Legal business name Allen, Jeanne M
Credentials PSY.D.,L.P.,R.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Feb 10th, 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 1417938242 NPPES
Minnesota MEDICAID 872525000

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