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NPI Code Detail

MEDICARE: JENNIFER ALLEN CNM

MEDICARE:   JENNIFER  ALLEN  CNM
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
1367A00000XAdvanced Practice MidwifeARNP 2696662FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
259167875OTHERALBCBS AL
3Y4875OTHERFLBCBS FL
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770547853
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ALLEN CNM
Provider Business Mailing Address
First Line : PO BOX 18868
Second Line :
City : PENSACOLA
State : FL
Zip : 32523-8868
Country : US
Telephone Number : 850-994-5660
Fax Number : 850-994-5841
Provider Business Practice Location Address
First Line : 525 BRENT LN
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-2003
Country : US
Telephone Number : 850-471-2221
Fax Number : 850-471-2245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 05/25/2010

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Directions to “ JENNIFER ALLEN CNM” Practice Location

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