Individual
JONATHAN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 AUTUMN DR, HOUMA, LA 70360-6099
(985) 872-5638
Mailing address
4443 HAMPSHIRE PIKE, HAMPSHIRE, TN 38461-4558
(931) 285-9356
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
023541
LA
207P00000X
Emergency Medicine Physician
27282
NV
207P00000X
Emergency Medicine Physician
73957
AZ
Other
Enumeration date
07/17/2006
Last updated
05/09/2025
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