Healthcare Provider Details

I. General information

NPI: 1649529348
Provider Name (Legal Business Name): CHRIS ALLISON PFLUM NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRIS ALLISON ISON FNPC

II. Dates (important events)

Enumeration Date: 09/10/2012
Last Update Date: 02/24/2020
Certification Date: 02/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 CONRAD HARCOURT WAY
RUSHVILLE IN
46173-1165
US

IV. Provider business mailing address

240 N TILLOTSON AVE
MUNCIE IN
47304-3988
US

V. Phone/Fax

Practice location:
  • Phone: 659-323-6997
  • Fax:
Mailing address:
  • Phone: 765-288-1928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71004126A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: