Organization
ALLISON LONG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON LELANIA LONG DNP, PMHNP-BC, APRN (OWNER/PROVIDER)
(561) 768-4248
Entity
Organization
Contact information
Practice address
1846 E INNOVATION PARK DR STE 100, ORO VALLEY, AZ 85755-1963
(561) 589-9566
Mailing address
1846 E INNOVATION PARK DR STE 100, ORO VALLEY, AZ 85755-1963
(561) 589-9566
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273640
ARNP
AZ
Enumeration date
07/14/2022
Last updated
11/20/2024
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