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Individual
JERALYN A ALLEN
Active
Individual
JERALYN A ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME120500
FL
207RS0010X
Sports Medicine (Internal Medicine) Physician
99048726A
IN
208M00000X
Hospitalist Physician
ME120500
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
FEDERAL UPIN
TN
Enumeration date
08/20/2008
Last updated
11/22/2024
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