Individual
MISS MARY PAULINE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4135
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4135
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN0000015320
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN0000015320
TN NP LICENSE
TN
01
—
R864190
ACNP LICENSE
MS
Enumeration date
02/18/2011
Last updated
03/31/2011
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