# JESSICA ELIZABETH ALLEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164521696
- **Gender:** F
- **Credential:** MSN, CPNP-AC/PC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 9204951 | FL | — |
| 363LP0200X | Pediatric Nurse Practitioner | 68642 | WV | — |
| 363LP0200X | Pediatric Nurse Practitioner | APRN9204951 | FL | Yes |
| 363LP0222X | Critical Care Pediatric Nurse Practitioner | APN 13495 | TN | — |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 04/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004432100 | — | FL |
| 05 | — | 3810006524 | — | WV |