MARY LOUISE ALLEN


Address: Massey Ave Bldg 2104, Mayport, FL 32228
Phone: 9042704444

MARY LOUISE ALLEN (NPI# 1518297829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518297829
Entity Type Individual
Full Name MARY LOUISE ALLEN
Credential WHNP
Practice Address Massey Ave Bldg 2104
Mayport
FL 32228
Mailing Address Po Box 280148
Naval Station
Mayport
FL 32228
Practice Telephone 9042704444
Mailing Telephone 9042704444
Enumeration Date 2010-01-08
Last Update Date 2010-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
ARNP 9199564 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address MASSEY AVE BLDG 2104
City MAYPORT
State FL
Zip Code 32228

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023546108 Gregory Donald Willden Military Health Care Provider Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 2017-06-01
1235681545 Huriel A Rivera Aponte Military Health Care Provider Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 2016-11-03
1871950667 Julie Nicole Boisen General Practice Bldg 1320, Waterfront Medical, Mayport, FL 32228 2016-01-25
1134594245 Luis Figueroa Military Health Care Provider Lcsron Two, 2480 Bonhomme Richard St, Jacksonville, FL 32228 2015-12-01
1790154813 Franklin Paul Mccullough Military Health Care Provider Bon Homme St Bldg 2480, Jacksonville, FL 32228 2015-09-18
1932512498 Mayport Refill Pharmacy Military/U.S. Coast Guard Pharmacy Naval Health Clinic Mayport, 2104 Massey Ave, Mayport, FL 32228 2014-06-03
1366863102 Clayton Pascik Military Health Care Provider Bldg 1488 Massey Ave., Jacksonville, FL 32228 2013-12-20
1104267533 Joshua Israel Keil Optometrist Building 2104 Massey Avenue, Nas Mayport, FL 32228 2013-07-15
1588907042 Devon Schefano Military Health Care Provider 1204 Massey Ave, Mayport, FL 32228 2013-04-03
1851686554 Philip M Yam Psychiatry & Neurology Cnss-14, Mrd Bld 1320, Mayport Naval Station, Jacksonville, FL 32228 2011-06-10
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City MAYPORT
Zip Code 32228

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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