Individual
ALICIA S ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(904) 977-5098
(904) 590-8738
Mailing address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(904) 977-5098
(904) 590-8738
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9313083
FL
363LF0000X
Family Nurse Practitioner
ARNP9313083
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9313083
FL
Other
Enumeration date
01/15/2015
Last updated
02/08/2025
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