Individual provider · NPI-1

Jonathan Scott Allen, HS

Military Health Care Provider, Independent Duty Corpsman · Memphis, TN

NPI number1063544211

StatusActive

Last updated in NPPESJul 8, 2007

Details

NPI: 1063544211
Entity type: Individual (NPI-1)
Name: Mr. Jonathan Scott Allen
Credential: HS
Sex: Male
Sole proprietor: No
Enumeration date: Mar 12, 2007
Last updated: Jul 8, 2007

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1710I1002X	Military Health Care Provider, Independent Duty Corpsman	–	–	Yes

Practice location

2 Auction Ave
Memphis, TN 38105-1502

Phone 901-521-4812 · Fax 901-544-3915

Mailing address

2 Auction Ave
Memphis, TN 38105-1502

Phone 901-521-4812 · Fax 901-544-3915

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