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Individual

MRS. JASMINE PAIGE ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
269 ARKANSAS RD, HOHENWALD, TN 38462-5318
(931) 729-3561
(931) 729-5029
Mailing address
269 ARKANSAS RD, HOHENWALD, TN 38462-5318
(931) 729-3561
(931) 729-5029

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000078152
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
164WOOOOOX
HEALTH DEPT
TN
Enumeration date
05/16/2013
Last updated
05/16/2013
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