Individual
MRS. DESIREE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-0302
Mailing address
721 WILEY BROWN RD, CLARKSVILLE, TN 37043-7817
(931) 368-0062
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN0000086722
TN
Other
Enumeration date
01/07/2009
Last updated
01/08/2009
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