Organization
JILL M ALLEN ARNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M ALLEN ARNP (OWNER)
(850) 225-8811
Entity
Organization
Contact information
Practice address
3695 SCENIC HIGHWAY 98 UNIT 1004, DESTIN, FL 32541-0700
(850) 225-8811
(888) 795-0698
Mailing address
3695 SCENIC HIGHWAY 98 UNIT 1004, DESTIN, FL 32541-0700
(850) 225-8811
(888) 795-0698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1692262
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
1692262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205877560
INDIVIDUAL NPI JILL M. ALLEN ARNP 1205877560
—
Enumeration date
01/19/2012
Last updated
11/18/2012
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