Individual
JENNIFER RENEE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW LPN
Contact information
Practice address
5707 N 22ND STREET, TAMPA, FL 33610
(813) 272-2878
(813) 272-3766
Mailing address
5707 N 22ND STREET, MENTAL HEALTH CARE INC, TAMPA, FL 33610
(813) 272-2878
(813) 272-3766
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
164W00000X
Licensed Practical Nurse
Primary
PN 5182298
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766972100
—
FL
Enumeration date
10/05/2006
Last updated
10/13/2010
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