Allen, Jamie S

Allen, Jamie S is an individual health care provider with primary practice located at 1700 Leonard St Ne , Grand Rapids MI 49505-5636. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Allen, Jamie S can be contacted via phone (616) 456-7243.

Contact Information

Primary practice address
1700 Leonard St Ne Grand Rapids MI 49505-5636
Phone: (616) 456-7243
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704243493 Michigan

Profile Details

NPI number 1225078520
LBN Legal business name Allen, Jamie S
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 17th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225078520 NPPES
Michigan MEDICAID 4739182

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