Individual
JERRY A ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
599 OAK RIDGE TPKE, OAK RIDGE, TN 37830-7177
(865) 482-2129
(865) 482-4036
Mailing address
599 OAK RIDGE TPKE, OAK RIDGE, TN 37830-7177
(865) 813-1009
(865) 482-4036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN 0000013542
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN0000013542
LICENSE NUMBER
TN
Enumeration date
09/24/2008
Last updated
10/30/2025
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