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Individual
JESSICA ELIZABETH ALLEN
Active
Individual
JESSICA ELIZABETH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP-AC/PC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9204951
FL
363LP0200X
Pediatric Nurse Practitioner
68642
WV
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9204951
FL
363LP0222X
Critical Care Pediatric Nurse Practitioner
APN 13495
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004432100
—
FL
05
—
3810006524
—
WV
Enumeration date
09/21/2006
Last updated
04/30/2024
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