Summer Allen, ATC
Individual provider Active NPI Prevention Professional · Jacksonville, AL
NPI 1346776952 · NPPES record last updated May 3, 2017
Key facts
- NPI
- 1346776952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prevention Professional 405300000X
- License
- 1860 (AL)
- Practice address
- 700 Pelham Rd N
Jacksonville, AL 36265-1602 - Phone
- (256) 782-5526
- NPI assigned
- May 3, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 1860 | AL | Yes |
Addresses
Primary practice location
700 Pelham Rd N
Jacksonville, AL 36265-1602
Mailing address
700 Pelham Rd N
Jacksonville, AL 36265-1602
Phone (256) 782-5526
Other providers in Jacksonville, AL
- Jonathan Todd Adams
- Kathryn Adcock
- Alabama CVS Pharmacy, L.L.C.
- Alabama Physical Rehabilitation Services Inc
- Susan Ashley Alford
- Allergy & Family Medicine, PC
- Deborah Alvidrez
- Amanda Davis, DMD, LLC
- Anchored Counseling Services, LLC
- Noah Tanner Angles
All providers in Jacksonville, AL · Prevention Professional in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2017. 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.