Individual
JENNIFER DYANE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 343-8530
Mailing address
580 SAINT NICHOLAS AVE APT 4H, NEW YORK, NY 10030-1932
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
649661
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382526-1
NY
Other
Enumeration date
07/07/2014
Last updated
11/25/2015
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