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VANESSA M ALLEN APN
Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1093963860
Individual Registrant: VANESSA M ALLEN APN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
114 E CRANDALL AVE STE B HARRISON, AR 72601-3628 US
Tel: 870-741-8484 Fax: 870-741-2722
Tel: 870-741-8484 Fax: 870-741-2722
Contact information for business:
2005 W ELM ST ROGERS, AR 72758-4018 US
Tel: 479-636-0083 Fax: 479-636-0144
Tel: 479-636-0083 Fax: 479-636-0144
Registration Information:
NPI: 1093963860
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health | AR | A003905 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 199122758 | AR | 05 |
