Individual
KAMERON ANSLEY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
195 WEST ILLINOIS AVENUE, ATTN: MELANIE GODFREY, SOUTHERN PINES, NC 28387
(910) 692-2444
Mailing address
195 W ILLINOIS AVE, SOUTHERN PINES, NC 28387-5808
(910) 692-2444
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5012829
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202016283
NC PEDIATRIC NURSING CERTIFICATION BOARD
NC
Enumeration date
02/07/2020
Last updated
06/20/2024
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