Individual
JASON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 203, JACKSONVILLE, FL 32216-6286
(904) 330-1024
Mailing address
6817 SOUTHPOINT PKWY STE 203, JACKSONVILLE, FL 32216-6286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9351773
FL
363LF0000X
Family Nurse Practitioner
APRN9351773
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN9351773
FL
Other
Enumeration date
02/20/2017
Last updated
02/13/2019
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