Individual
MICAH MARIAH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
305 E LEWIS AND CLARK PKWY, CLARKSVILLE, IN 47129-1758
(812) 590-7230
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(812) 590-7230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4007695
KY
363LF0000X
Family Nurse Practitioner
Primary
71014154A
IN
Other
Enumeration date
07/26/2023
Last updated
05/19/2025
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