Individual
JUDY PORTER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 HARRELSON RD, CHERRYVILLE, NC 28021-9541
(704) 435-4161
Mailing address
705 MAYO ST, SHELBY, NC 28152-7013
(704) 284-2505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011360
NC
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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