NPI 1063283174 · live from the CMS NPI Registry
Jennifer Marie Allen, FNP
Nurse Practitioner, Family in Tolland, CT. National Provider Identifier 1063283174, active.
NPI record
| NPI | 1063283174 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 384 Merrow Rd Ste J, Tolland, CT 06084 |
| Practice phone | 860-871-8851 |
| Mailing address | 384 Merrow Rd, Tolland, CT 06084 |
| Enumerated | January 9, 2024 |
| Last updated | January 9, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 12714 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.