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Organization
ALLISON LONG LLC
Active
Organization
ALLISON LONG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLISON LELANIA LONG DNP, PMHNP-BC (OWNER)
(561) 629-0454
Entity
Organization
Contact information
Practice address
4600 MILITARY TRL STE 103, JUPITER, FL 33458-4811
(561) 768-4248
(561) 249-7432
Mailing address
431 JUPITER LAKES BLVD APT 2121B, JUPITER, FL 33458-7124
(561) 768-4248
(561) 249-7432
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
11/20/2024
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