NPI 1154865921 · live from the CMS NPI Registry
Stephanie Allen, PNP-PC
Nurse Practitioner, Pediatrics in Mesquite, TX. National Provider Identifier 1154865921, active.
NPI record
| NPI | 1154865921 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 3230 I 30 Ste 100, Mesquite, TX 75150 |
| Practice phone | 972-682-1791 |
| Enumerated | December 13, 2016 |
| Last updated | June 23, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | AP132666 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.