Stella Michelle Allen
Individual provider Active NPI Licensed Practical Nurse · Kennett, MO
NPI 1225857055 · NPPES record last updated Oct 8, 2024
Key facts
- NPI
- 1225857055
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 2009025672 (MO)
- Practice address
- 1226 Independence Ave
Kennett, MO 63857-1316 - Phone
- (573) 559-2380
- NPI assigned
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009025672 | MO | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2009025672 | MO | Yes |
Addresses
Primary practice location
1226 Independence Ave
Kennett, MO 63857-1316
Mailing address
1226 Independence Ave
Kennett, MO 63857-1316
Phone (573) 559-2380
Other providers in Kennett, MO
- Fancilla Adams
- Deborah Jean Allen
- Lacey Allen
- Patricia Ann Allen
- Phyllis Laverne Allen
- Tabitha Allen
- Autumn Lynnette Allgood
- Amy Lockhert
- Amy R Lockhert
- Arcadia Ego Inc
All providers in Kennett, MO · Licensed Practical Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.