Florida Allen, NP
Individual provider Active NPI Family Nurse Practitioner · Memphis, TN
NPI 1003206657 · NPPES record last updated Mar 30, 2016
Key facts
- NPI
- 1003206657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 19576 (TN)
- Practice address
- 3362 S 3Rd St
Memphis, TN 38109-2944 - Phone
- (901) 701-2510
- Fax
- (901) 260-8598
- NPI assigned
- Feb 3, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150325002018 | TN | Practitioner - Nurse Practitioner | 1850618141 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hardeman County Community Health Center | Current | Accepting new patients |
Locations
629 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 658-3388
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19576 | TN | Yes |
Addresses
Primary practice location
3362 S 3Rd St
Memphis, TN 38109-2944
Mailing address
2595 Central Ave
Memphis, TN 38104-5905
Phone (901) 271-6328
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q013164 | Medicaid | TN |
Other providers in Memphis, TN
- Delenya Allen
- Deloris B Allen
- Derrick Allen
- Ebony Allen
- Elizabeth Allen
- Hannah Allen
- Jada S Allen
- Jala S Allen
- Jonathan Scott Allen
- Joseph E Allen II
All providers in Memphis, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.