Individual
STEPHANIE SLACK ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
408 VIRGINIA ST, PARIS, TN 38242-5341
(731) 642-0521
Mailing address
101 ALBERTA ST, MARTIN, TN 38237-3501
(731) 514-5774
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21694
TN
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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