Shamblin, Allison Layne
Shamblin, Allison Layne is an individual health care provider with primary practice located at 15 Stonebridge Blvd , Jackson TN 38305-2042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shamblin, Allison Layne can be contacted via phone (731) 660-2056.Contact Information
Primary practice address
15 Stonebridge Blvd
Jackson TN 38305-2042
Phone: (731) 660-2056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1939 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA05500 | Texas |
Profile Details
| NPI number | 1568642692 |
|---|---|
| LBN Legal business name | Shamblin, Allison Layne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2007 |
| Last updated | Mar 14th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568642692 | NPPES |
| Texas | MEDICAID | 192433402 | |
| Texas | Other | 8Y8266 | |
| Texas | Other | 8Y3249 |
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