| Doctor Name: | MRS. DESIREE ALLEN |
| NPI Number: | 1093952483 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN0000086722 |
| Business Practice Address: | 650 Joel Dr Fort Campbell, KY - 422235318 |
| Business Phone Number: | 2709560302 |
| Business Fax Number: | |
| Mailing Address: | 721 Wiley Brown Rd, CLARKSVILLE |
| State: | TN |
| Postal Code: | 370437817 |
| Phone Number: | 9313680062 |
| Fax Number: | |
| NPI Enumeration Date: | 01/07/2009 |
| NPI Last Update Date: | 01/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | RN0000086722 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |