Janice C Allen
Individual provider Active NPI Community Health Worker · Cordova, TN
NPI 1306071600 · NPPES record last updated May 16, 2009
Key facts
- NPI
- 1306071600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- MT0000003785 (TN)
- Practice address
- 2518 Eagleridge LN W
Cordova, TN 38016-8458 - Phone
- (901) 921-3533
- NPI assigned
- May 16, 2009
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT0000003785 | TN | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MT0000003785 | TN | Yes |
Addresses
Primary practice location
2518 Eagleridge LN W
Cordova, TN 38016-8458
Mailing address
2518 Eagleridge LN W
Cordova, TN 38016-8458
Phone (901) 921-3533
Other providers in Cordova, TN
- Nadia Olivia Albert
- Dvanishia Alford
- Ali Kaplan PHD, LLC
- Jane Kirk Alissandratos
- All Day Screening, LLC
- Kadasha Allen
- Louise Allen
- Allycare LLC
- Stephen Craig Alsobrook
- Jamesa Yvette Alston
All providers in Cordova, TN · Community Health Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2009. 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.