Individual
MR. MARK JEFFREY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
608 OLD ROUTE 66, SAINT ROBERT, MO 65584-3730
(573) 336-5100
Mailing address
608 OLD ROUTE 66, SAINT ROBERT, MO 65584-3730
(573) 336-5100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021027706
MO
Other
Enumeration date
07/15/2021
Last updated
09/13/2021
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