NPI Code Details Logo

NPI 1225486855

NPI 1225486855 : JAMIE DARA ALLMAN AGPCNP-BC : CHARLOTTE, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1225486855
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JAMIE DARA ALLMAN AGPCNP-BC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/24/2016
-----------------------------------------------------
    Last Update Date     |    03/07/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1213 W MOREHEAD ST 
-----------------------------------------------------
    City                 |    CHARLOTTE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28208-5576
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-931-5883
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3769 PITTS FARM DR 
-----------------------------------------------------
    City                 |    MORGANTON
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28655-7870
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-234-9303
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    5008572
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LG0600X
-----------------------------------------------------
    Taxonomy Name        |    Gerontology Nurse Practitioner
-----------------------------------------------------
    License Number       |    5008572
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363LP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    5008572
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    363LA2200X
-----------------------------------------------------
    Taxonomy Name        |    Adult Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    5008572
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.