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NPI Code Detail

MEDICARE: MISS JENNIFER E ALLEN N.P.

MEDICARE: MISS JENNIFER E ALLEN N.P.
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
1163W00000XRegistered Nurse597310NY
2363LA2200XAdult Health Nurse Practitioner306191NY

General Provider Information

NPI Number : 1902067135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JENNIFER E ALLEN N.P.
Provider Business Mailing Address
First Line : 332 DEKALB AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-3820
Country : US
Telephone Number : 718-852-5252
Fax Number : 718-398-0975
Provider Business Practice Location Address
First Line : 332 DEKALB AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-3820
Country : US
Telephone Number : 718-852-5252
Fax Number : 718-398-0975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2008
Last Update Date : 07/25/2013

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Directions to “ MISS JENNIFER E ALLEN N.P.” Practice Location

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