Individual provider · NPI-1

Jaimie Allen, MSN, FNP-BC

Nurse Practitioner, Family · West Bloomfield, MI

NPI number1215669379
StatusActive
Last updated in NPPESApr 21, 2025

Details

NPI
1215669379
Entity type
Individual (NPI-1)
Name
Jaimie Allen
Credential
MSN, FNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 28, 2022
Certification date
Apr 21, 2025
Last updated
Apr 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4704341683MIYes
363LX0001X Nurse Practitioner, Obstetrics & Gynecology4704341683MI

Practice location

2300 Haggerty Rd Ste 2070
West Bloomfield, MI 48323-2190

Phone 248-926-2020

Mailing address

43592 Champlain Ct
Canton, MI 48188-1711

Phone 814-572-2190

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