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Individual

JOCELYN A ALLYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNPC

Contact information

Practice address
1023 MEDICAL CENTER PKWY, SUITE 310, SELMA, AL 36701-6780
(334) 418-6656
(334) 418-6657
Mailing address
PO BOX 1206, SELMA, AL 36702-1206

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-149809
AL
363LF0000X
Family Nurse Practitioner
2003027280
MO
364SF0001X
Family Health Clinical Nurse Specialist
2003027280
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157481758
AR
01
186350
MO BLUE SHIELD
MO
05
428402101
MO
01
82738
ARK BLUE SHIELD
AR
Enumeration date
02/13/2007
Last updated
09/21/2015
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