Organization
ALLEN PRIMARY CARE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELORIS B ALLEN NURSE PRACTITIONER (OWNER)
(901) 337-4554
Entity
Organization
Contact information
Practice address
6010 KNIGHT ARNOLD ROAD EXT, 1, MEMPHIS, TN 38115-3322
(901) 337-4554
Mailing address
6010 KNIGHT ARNOLD ROAD EXT STE 1, MEMPHIS, TN 38115-3322
(901) 337-4554
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
5858
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11842260
NPI
TN
Enumeration date
08/15/2016
Last updated
01/13/2017
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