# JOLYN M ALLEN PMHNP PLLC

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

## Provider details

- **NPI number:** 1619342474
- **Authorized official:** JOLYN ALLEN (BILLER)
- **Authorized official phone:** (214) 718-4501

## Contact information

- **Practice address:** 3109 6TH AVE, FORT WORTH, TX 76110-3800
- **Practice address phone:** (682) 312-7339
- **Mailing address:** 949 GIBBS XING, COPPELL, TX 75019-7376
- **Mailing address phone:** (214) 718-4501

## 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:** 12/04/2015
- **Last updated:** 12/04/2015