# ALLISON LONG LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477251460
- **Authorized official:** DR. ALLISON LELANIA LONG DNP, PMHNP-BC (OWNER)
- **Authorized official phone:** (561) 629-0454

## Contact information

- **Practice address:** 4600 MILITARY TRL STE 103, JUPITER, FL 33458-4811
- **Practice address phone:** (561) 768-4248
- **Practice address fax:** (561) 249-7432
- **Mailing address:** 431 JUPITER LAKES BLVD APT 2121B, JUPITER, FL 33458-7124
- **Mailing address phone:** (561) 768-4248
- **Mailing address fax:** (561) 249-7432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2023
- **Last updated:** 11/20/2024
