MEDICARE: EMILY ALLEN FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1158102	TX
2	163W00000X	Registered Nurse	806538	TX

General Provider Information

NPI Number	:	1790561272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ALLEN FNP-C

Provider Business Mailing Address
First Line	:	101 STATION DR STE 200
Second Line	:
City	:	WESTWOOD
State	:	MA
Zip	:	02090-2392
Country	:	US
Telephone Number	:	781-691-3386
Fax Number	:	844-310-0154

Provider Business Practice Location Address
First Line	:	2162 TEXAS AVE
Second Line	:
City	:	BRIDGE CITY
State	:	TX
Zip	:	77611-2838
Country	:	US
Telephone Number	:	409-735-7157
Fax Number	:	409-735-7035

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2023
Last Update Date	:	01/08/2026

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Directions to “ EMILY ALLEN FNP-C” Practice Location

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