Individual
JESSICA KRISTEN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
4709 CREEKSTONE DR, DURHAM, NC 27703-8411
(919) 684-8409
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02822
NC
363AS0400X
Surgical Physician Assistant
MA051444
PA
Other
Enumeration date
04/20/2006
Last updated
08/25/2014
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