Individual
JASON ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2351 CHADWICK DR, FLORENCE, SC 29501-6423
(843) 616-3399
Mailing address
1826 PARTRIDGE CIR, FLORENCE, SC 29505-3150
(843) 616-3399
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023209997
SC
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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