Healthcare Provider Details

I. General information

NPI: 1679650394
Provider Name (Legal Business Name): JANICE ANNE ALLEN RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANICE A. GIGGLEMAN

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 W 7TH ST
LITTLE ROCK AR
72205-5446
US

IV. Provider business mailing address

2307 RED BUD CV
BENTON AR
72015-4779
US

V. Phone/Fax

Practice location:
  • Phone: 501-257-6805
  • Fax:
Mailing address:
  • Phone: 501-315-2969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0601X
TaxonomyOtorhinolaryngology & Head-Neck Registered Nurse
License NumberPO1150
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: