Individual
CLAIRE JOHANNA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1905 PERRINE ST, LAFAYETTE, IN 47904-1447
(703) 498-8780
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013685A
IN
390200000X
Student in an Organized Health Care Education/Training Program
28207451A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300073243
—
IN
Enumeration date
09/19/2021
Last updated
11/13/2025
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