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:
Health care specialties
Specialty | Code | License # | 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 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841270972 | NPPES |
Tennessee | MEDICAID | 3928988 | |
Tennessee | MEDICAID | 3928989 | |
Tennessee | Other | 4148068 | |
Tennessee | Other | P00365538 |
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