Individual
ELIZABETH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4000
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 399-6169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903499
MS
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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