| Doctor Name: | DEBRA ALLEN |
| NPI Number: | 1073903639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 1189412 |
| Business Practice Address: | 3300 Dairy Rd Titusville, FL - 327961512 |
| Business Phone Number: | 3212696530 |
| Business Fax Number: | 3212692334 |
| Mailing Address: | 3300 Dairy Rd, TITUSVILLE |
| State: | FL |
| Postal Code: | 327961512 |
| Phone Number: | 3212696530 |
| Fax Number: | 3212692334 |
| NPI Enumeration Date: | 02/03/2015 |
| NPI Last Update Date: | 02/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1189412 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |