Individual
FLORIDA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3362 S 3RD ST, MEMPHIS, TN 38109-2944
(901) 701-2510
(901) 260-8598
Mailing address
2595 CENTRAL AVE, MEMPHIS, TN 38104-5905
(901) 271-6328
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19576
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q013164
—
TN
Enumeration date
02/03/2015
Last updated
03/30/2016
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