| NPI | 1073952446 |
|---|---|
| Former Name | JENNIFER LYNN ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA-15761-NP) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OH COA-15761-NP) |
| 261QU0200X Clinic/Center, Urgent Care (Licence: OH COA-15761-NP) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2023-05-10 |