Individual
ALLIE GAMMILL KNICELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4431 TRAVIS ST APT 110, DALLAS, TX 75205-4136
(501) 454-7538
Mailing address
7228 SYRACUSE DR, DALLAS, TX 75214-1737
(501) 454-7538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP126297
TX
Other
Enumeration date
09/10/2014
Last updated
11/07/2019
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