Individual provider · Type 1 NPI

Mary Jo Allen

Nurse Practitioner · Round Rock, TX

NPI number 1679369169 Active

Practice location

409 W Liberty Ave
Round Rock, TX 78664-5127

Fax (512) 524-3437

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF03250549 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1679369169

Mary Jo Allen's National Provider Identifier is 1679369169, issued on Apr 19, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Round Rock, TX. The record was last updated on Mar 6, 2026.