Individual
SHAMIKA C ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6049 KEEBLER OAKS DR, MARYVILLE, IL 62062-6456
(314) 296-1139
Mailing address
3173 KIRBY WHITTEN RD, BARTLETT, TN 38134-2881
(901) 670-7022
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
34612
TN
Other
Enumeration date
05/03/2023
Last updated
10/10/2024
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