Allen, Mary Jane

Allen, Mary Jane is an individual health care provider with primary practice located at 3150 Lenox Park Blvd Suite 214, Memphis TN 38115-4299. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Allen, Mary Jane can be contacted via phone (901) 273-2368.

Contact Information

Primary practice address
3150 Lenox Park Blvd Suite 214 Memphis TN 38115-4299
Phone: (901) 273-2368
Fax: (901) 273-2351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN0000006880 Tennessee

Profile Details

NPI number 1841270972
LBN Legal business name Allen, Mary Jane
Credentials MSN, APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Oct 29th, 2009 - about 15 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 1841270972 NPPES
Tennessee MEDICAID 3928988
Tennessee MEDICAID 3928989
Tennessee Other 4148068
Tennessee Other P00365538

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