Individual
ALLISON FAYE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1103 ROCK PRAIRIE RD, COLLEGE STATION, TX 77845-8344
(979) 822-5511
Mailing address
1103 ROCK PRAIRIE RD, COLLEGE STATION, TX 77845-8344
(979) 822-5511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
114194
NE
363LF0000X
Family Nurse Practitioner
1142237
TX
363LF0000X
Family Nurse Practitioner
Primary
A161810
IA
363LF0000X
Family Nurse Practitioner
Primary
CP001962
SD
Other
Enumeration date
10/27/2020
Last updated
07/30/2026
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