Allen, Jennifer Renee

Allen, Jennifer Renee is an individual health care provider with primary practice located at 5707 N 22Nd Street , Tampa FL 33610. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Allen, Jennifer Renee can be contacted via phone (813) 272-2878.

Contact Information

Primary practice address
5707 N 22Nd Street Tampa FL 33610
Phone: (813) 272-2878
Fax: (813) 272-3766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 5182298 Florida

Profile Details

NPI number 1164518510
LBN Legal business name Allen, Jennifer Renee
Credentials BSW LPN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Oct 13th, 2010 - about 14 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 1164518510 NPPES
Florida MEDICAID 766972100

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