Healthcare Provider Details

I. General information

NPI: 1659660736
Provider Name (Legal Business Name): JENNIFER ALLEYNE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER TOPKIN MD

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 07/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 FARROW RD
COLUMBIA SC
29203-3220
US

IV. Provider business mailing address

2170 N LAKE DR APT 1318
COLUMBIA SC
29212-8118
US

V. Phone/Fax

Practice location:
  • Phone: 860-501-8899
  • Fax:
Mailing address:
  • Phone: 860-501-8899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number38590
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number38590
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: