Jada Allen, CRNP
Nurse Practitioner, Family in Baltimore, MD. Individual provider (NPI-1).
NPI number1154960052
StatusActive
Last updated in NPPESDec 26, 2019
Details
- NPI
- 1154960052
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jada Allen
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2019
- Certification date
- Dec 26, 2019
- Last updated
- Dec 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R207359 | MD | Yes |
Practice location
22 S Greene StBaltimore, MD 21201-1591
Phone 410-328-8667
Mailing address
22 S Greene StBaltimore, MD 21201-1591
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