Individual provider · NPI-1

Terry Allen, NP

Nurse Practitioner · Livonia, MI

NPI number1205397205
StatusActive
Last updated in NPPESJul 18, 2025

Details

NPI
1205397205
Entity type
Individual (NPI-1)
Name
Terry Allen
Credential
NP
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2019
Last updated
Jul 18, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner4704264054MIYes

Practice location

14555 Levan Rd
Ste 311
Livonia, MI 48154

Phone 734-655-2692 · Fax 734-655-4218

Mailing address

24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105

Phone 734-747-6766 · Fax 734-222-3100

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Livonia, MI