Individual
DR. ADAM WILLIAM ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2028 6TH ST, SLIDELL, LA 70458-3508
(504) 417-3095
Mailing address
500 MARINERS PLAZA DR STE 504, MANDEVILLE, LA 70448-6852
(985) 246-1250
(985) 246-1251
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP06833
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP06883
LA
Other
Enumeration date
05/11/2012
Last updated
10/12/2018
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