Allen, Vanessa M

Allen, Vanessa M is an individual health care provider with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804-4294. 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, Vanessa M can be contacted via phone (417) 761-5000.

Contact Information

Primary practice address
1300 E Bradford Pkwy Springfield MO 65804-4294
Phone: (417) 761-5000
Fax: (417) 761-5011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2022010301 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X A003905 Arkansas

Profile Details

NPI number 1093963860
LBN Legal business name Allen, Vanessa M
Credentials DNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2008
Last updated Oct 13th, 2022 - 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 1093963860 NPPES
Arkansas MEDICAID 199122758
Arkansas MEDICAID 104530360

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