MEDICARE: JENNIFER T ALLEN APRN

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	363LF0000X	Family Nurse Practitioner	53-85492-102	KS

General Provider Information

NPI Number	:	1326986373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER T ALLEN APRN

Provider Business Mailing Address
First Line	:	1121 N COLLEGE PARK ST
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-3665
Country	:	US
Telephone Number	:	316-788-3376
Fax Number	:	316-788-3378

Provider Business Practice Location Address
First Line	:	1121 N COLLEGE PARK ST
Second Line	:
City	:	DERBY
State	:	KS
Zip	:	67037-3665
Country	:	US
Telephone Number	:	316-788-3376
Fax Number	:

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

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	04/23/2026

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Directions to “ JENNIFER T ALLEN APRN” Practice Location

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