Healthcare Provider Details

I. General information

NPI: 1811861974
Provider Name (Legal Business Name): LORENA DEJEAN ALLEN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 11/22/2025
Certification Date: 11/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 S GRAND AVE
MOUNT PLEASANT IA
52641-1843
US

IV. Provider business mailing address

1254 130TH AVE
HILLSBORO IA
52630-9317
US

V. Phone/Fax

Practice location:
  • Phone: 319-759-7642
  • Fax:
Mailing address:
  • Phone: 319-759-7642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA181001
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberB187379
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: