Individual
MEGAN JOELL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-3163
Mailing address
301 FISHER ST, BILOXI, MS 39534-2508
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
46007
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200553530F
—
KS
Enumeration date
03/29/2007
Last updated
04/10/2018
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