Individual
JEAN GAIL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Contact information
Practice address
4707 BUCKINGHAM CT, CHESTER, VA 23831-4261
(804) 796-2300
(804) 751-4815
Mailing address
4707 BUCKINGHAM CT, CHESTER, VA 23831-4261
(804) 796-2300
(804) 751-4815
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0017000200
VA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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