Golden-Allen, Juanita Nicole
Golden-Allen, Juanita Nicole is an sole proprietor health care provider with primary practice located at 3801 S National Ave , Springfield MO 65807-5210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is her primary health care specialty. Golden-Allen, Juanita Nicole can be contacted via phone (417) 875-3000.Contact Information
Primary practice address
3801 S National Ave
Springfield MO 65807-5210
Phone: (417) 875-3000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 28217110A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 71007958A | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 2021029675 | Missouri |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 1059740 | Texas |
Profile Details
NPI number | 1831686633 |
---|---|
LBN Legal business name | Golden-Allen, Juanita Nicole |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 17th, 2018 |
Last updated | Oct 19th, 2022 - about 2 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 | 1831686633 | NPPES |
Missouri | MEDICAID | 420100120 |
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