| Doctor Name: | FLORIDA ALLEN |
| NPI Number: | 1003206657 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 19576 |
| Business Practice Address: | 3362 S 3rd St Memphis, TN - 381092944 |
| Business Phone Number: | 9017012510 |
| Business Fax Number: | 9012608598 |
| Mailing Address: | 2595 Central Ave, MEMPHIS |
| State: | TN |
| Postal Code: | 381045905 |
| Phone Number: | 9012716328 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2015 |
| NPI Last Update Date: | 03/30/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 19576 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |