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Jessica Kristen Allen, PAC

Physician Assistant in Durham, NC. Individual provider (NPI-1).

NPI number1316902398
StatusActive
Last updated in NPPESAug 25, 2014

Details

NPI
1316902398
Entity type
Individual (NPI-1)
Name
Jessica Kristen Allen
Credential
PAC
Sex
Female
Sole proprietor
No
Enumeration date
Apr 20, 2006
Last updated
Aug 25, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant0010-02822NCYes
363AS0400X Physician Assistant, SurgicalMA051444PA

Practice location

4709 Creekstone Dr
Durham, NC 27703-8411

Phone 919-684-8409

Mailing address

Po Box 63362
Charlotte, NC 28263-3362

Phone 919-684-8111

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