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Individual

JACQUELINE KAY ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 907-8697
(910) 907-8617
Mailing address
2817 REILY ROAD, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(910) 907-8697
(910) 907-8617

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
AP131469
TX

Other

Enumeration date
07/25/2017
Last updated
07/21/2022
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