Organization
JOLYN M ALLEN PMHNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLYN ALLEN (BILLER)
(214) 718-4501
Entity
Organization
Contact information
Practice address
3109 6TH AVE, FORT WORTH, TX 76110-3800
(682) 312-7339
Mailing address
949 GIBBS XING, COPPELL, TX 75019-7376
(214) 718-4501
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750753885
NPI # INDIVIDUAL
TX
Enumeration date
12/04/2015
Last updated
12/04/2015
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