Individual
TANA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 E BROADWAY ST STE 23, MORRILTON, AR 72110-3708
(501) 462-5789
(501) 285-9115
Mailing address
1401 E BROADWAY ST STE 23, MORRILTON, AR 72110-3708
(501) 462-5789
(501) 285-9115
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A005326
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229009758
—
AR
Enumeration date
07/18/2014
Last updated
10/16/2024
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