MEDICARE: JENNIFER ALLEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker
2	1041C0700X	Clinical Social Worker	9836	FL

General Provider Information

NPI Number	:	1104140995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ALLEN

Provider Business Mailing Address
First Line	:	333 COMMERCE ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37201-1826
Country	:	US
Telephone Number	:	863-519-0575
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 COMMERCE ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37201-1826
Country	:	US
Telephone Number	:	615-927-6658
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2010
Last Update Date	:	04/19/2022

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Directions to “ JENNIFER ALLEN ” Practice Location

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