Individual
ALEXIS C ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5100 RANGELINE RD. NORTH, MOBILE, AL 36608-9504
(251) 661-4454
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 475-4686
(850) 475-4619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-126654
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630000013
—
AL
Enumeration date
03/09/2015
Last updated
06/03/2019
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