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VANESSA M ALLEN APN

Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1093963860

Individual Registrant:
 VANESSA M ALLEN APN
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

Contact information for business:
2005 W ELM ST  ROGERS, AR 72758-4018 US
Tel: 479-636-0083  Fax: 479-636-0144

Registration Information:
NPI: 1093963860
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Psychiatric/Mental Health
ARA003905

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
199122758AR05




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