Individual
PENNY LYNN ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
172 PLEASANTVIEW DR, JAMESTOWN, NY 14701-1632
(999) 999-9999
Mailing address
172 PLEASANTVIEW DR, JAMESTOWN, NY 14701-1632
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R871703
MS
Other
Enumeration date
10/17/2005
Last updated
04/10/2014
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