MEDICARE: JILL B ALLEN MD

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	207Q00000X	Family Medicine Physician	0101840390	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588652721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL B ALLEN MD

Provider Business Mailing Address
First Line	:	PO BOX 267
Second Line	:
City	:	SOUTH HILL
State	:	VA
Zip	:	23970-0267
Country	:	US
Telephone Number	:	434-447-2300
Fax Number	:	434-447-2377

Provider Business Practice Location Address
First Line	:	500 N THOMAS ST
Second Line	:
City	:	SOUTH HILL
State	:	VA
Zip	:	23970-1421
Country	:	US
Telephone Number	:	434-447-2300
Fax Number	:

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	10/31/2019

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Directions to “ JILL B ALLEN MD” Practice Location

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