Individual
ESIAH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC
Contact information
Practice address
539 W COMMERCE ST STE 2996, DALLAS, TX 75208-1953
(694) 141-2254
Mailing address
539 W. COMMERCE ST STE 2996, DALLAS, TX 75208-1953
(469) 414-1125
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP132873
TX
Other
Enumeration date
01/18/2017
Last updated
01/08/2021
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