Doctor Name: | MRS. JENNIFER PEACE ALLEN |
NPI Number: | 1346632197 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | AP127572 |
Business Practice Address: | 1314 N Brazos St Whitney, TX - 766922010 |
Business Phone Number: | 2546943621 |
Business Fax Number: | |
Mailing Address: | 312 N Avenue C, BLUM |
State: | TX |
Postal Code: | 766273165 |
Phone Number: | 8175173454 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2015 |
NPI Last Update Date: | 03/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP127572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |