Individual
LAURA S ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
310 W TYLER AVE, WEST MEMPHIS, AR 72301-4225
(870) 732-2398
(870) 732-3647
Mailing address
PO BOX 381974, GERMANTOWN, TN 38183-1974
(901) 821-0338
(901) 821-0341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12241
TN
363L00000X
Nurse Practitioner
A01097
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141394758
—
AR
Enumeration date
10/20/2006
Last updated
08/07/2024
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