Golden-Allen, Juanita Nicole

Golden-Allen, Juanita Nicole is an sole proprietor health care provider with primary practice located at 3801 S National Ave , Springfield MO 65807-5210. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Golden-Allen, Juanita Nicole can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
3801 S National Ave Springfield MO 65807-5210
Phone: (417) 875-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 28217110A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71007958A Illinois
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2021029675 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1059740 Texas
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 1059740 Texas

Profile Details

NPI number 1831686633
LBN Legal business name Golden-Allen, Juanita Nicole
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2018
Last updated Oct 15th, 2024 - about 2 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 1831686633 NPPES
Missouri MEDICAID 420100120

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