Individual
MRS. JOLYN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3109 6TH AVE STE B, FORT WORTH, TX 76110-3800
(682) 312-7339
Mailing address
949 GIBBS XING, COPPELL, TX 75019-7376
(214) 718-4501
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
577394
TX
Other
Enumeration date
10/28/2015
Last updated
11/03/2015
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