Tara Jean Allen NNP-BC

NPI 1295009330 - Nurse Practitioner - 363LN0005X

NPI Details
NPI 1295009330
Gender Female
Enumeration Date 03/07/2012
Last Updated 06/15/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 984-1000
Fax
Business Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 984-1000
Fax
Toxanomy
Taxonomy Code 363LN0005X
License State Mississippi
License Number R876166
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According to our database, Mrs. Tara Jean Allen NNP-BC NPI is 1295009330, taxonomy code is 363LN0005X and license number is R876166, license state is located at Mississippi. Tara Jean Allen NNP-BC physically located at 2500 N State St, Jackson MS, 39216-4500. NPI Number Tara Jean Allen NNP-BC has the Individual type.

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1295009330 NPI number is provided on an as is basis without warranty of any kind. 1295009330 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Jean Allen NNP-BC are for informational purposes only.