Patricia Jackson Allen, APRN PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

002773 Issued in CT

Practice address

789 Howard Ave
Ynhh Primary Care Center
New Haven, CT 06510

Phone

(203) 737-2345

Fax

(203) 785-6455

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Patricia Ludder Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477563922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ACORN HILL RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "06525",
            "telephone_number": "203-737-2345",
            "fax_number": "203-785-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 HOWARD AVE",
            "address_2": "YNHH PRIMARY CARE CENTER",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06510",
            "telephone_number": "203-737-2345",
            "fax_number": "203-785-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "PATRICIA",
        "middle_name": "JACKSON",
        "name_prefix": "Ms.",
        "credential": "APRN PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "002773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "JACKSON",
            "middle_name": "LUDDER",
            "prefix": "MS.",
            "credential": "RN MS PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Carol Allen, AG-ACNP-BC
• Cecily Allen
• Christina R Allen, MD
• Elaine Evans Allen, LCSW
• Katherine Allen, RDN
• Stephanie Angel Allen
• William E Allen, M.D.
• Margaret J Allende, DNSC APRN
• Allergy Associates, P.C.
• Dolapo A Alli, RPH

• Pediatric Nurse Practitioner in New Haven, CT
• Providers in New Haven, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.