Individual
MS. JACQUELINE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4352 MANCHESTER AVE, SAINT LOUIS, MO 63110-2138
(314) 531-5444
Mailing address
4352 MANCHESTER AVE, SAINT LOUIS, MO 63110-2138
(314) 531-5444
(314) 531-0063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014029920
MO
364SF0001X
Family Health Clinical Nurse Specialist
F0714592
MO
Other
Enumeration date
07/23/2014
Last updated
01/05/2024
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