Individual provider · Type 1 NPI
Jacqueline Danielle Allen, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Fort Stewart, GA
NPI number
1376202309
Active
Practice location
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Other practice locations
- 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 · (573) 596-0417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2021047406 (MO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1376202309
Jacqueline Danielle Allen, PMHNP-BC's National Provider Identifier is 1376202309, issued on Dec 17, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Stewart, GA. The record was last updated on Nov 12, 2024.