Individual
JAMIE S ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1700 LEONARD ST NE, GRAND RAPIDS, MI 49505-5636
(616) 456-7243
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 793-6140
(855) 866-0711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704243493
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4739182
—
MI
Enumeration date
06/07/2006
Last updated
04/17/2017
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