MEDICARE: DAVID W ALLEN NP

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	363L00000X	Nurse Practitioner	APN0000007287	TN

General Provider Information

NPI Number	:	1770526709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID W ALLEN NP

Provider Business Mailing Address
First Line	:	30 BURTON HILLS BLVD
Second Line	:	STE 175
City	:	NASHVILLE
State	:	TN
Zip	:	37215-6403
Country	:	US
Telephone Number	:	615-988-2014
Fax Number	:	615-208-1303

Provider Business Practice Location Address
First Line	:	4490 HIXSON PIKE
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-5038
Country	:	US
Telephone Number	:	423-875-0700
Fax Number	:	423-875-3391

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	12/31/2018

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