Individual
JAELYNNE MICHELLE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, PNP, CPN
Contact information
Practice address
36243 INLAND VALLEY DR, WILDOMAR, CA 92595-9549
(951) 813-3760
Mailing address
36243 INLAND VALLEY DR, WILDOMAR, CA 92595-9549
(951) 813-3760
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95011896
CA
Other
Enumeration date
07/01/2019
Last updated
03/09/2020
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