Individual
JAIMIE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
2300 HAGGERTY RD STE 2070, WEST BLOOMFIELD, MI 48323-2190
(248) 926-2020
Mailing address
43592 CHAMPLAIN CT, CANTON, MI 48188-1711
(814) 572-2190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704341683
MI
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
4704341683
MI
Other
Enumeration date
06/28/2022
Last updated
04/21/2025
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