Jenna Marie Allen, RN, NP-BC

Individual provider Active NPI Registered Nurse · Grosse Ile, MI

NPI 1114745833 · NPPES record last updated Oct 1, 2024

Key facts

NPI
1114745833
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
44704297461 (MI)
Practice address
23542 Country Club LN
Grosse Ile, MI 48138-2247
Phone
(313) 467-7621
NPI assigned
Oct 1, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
44704297461MIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 44704297461 MI Yes

Addresses

Primary practice location

23542 Country Club LN
Grosse Ile, MI 48138-2247

Mailing address

23542 Country Club LN
Grosse Ile, MI 48138-2247
Phone (313) 467-7621

Other names

  • Jenna Marie Chiampi Former name

Other providers in Grosse Ile, MI

All providers in Grosse Ile, MI · Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.