Jayme Lynn Allen

Individual provider Active NPI Family Nurse Practitioner · Rosharon, TX

NPI 1558062166 · NPPES record last updated Jun 18, 2024

Key facts

NPI
1558062166
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1141442 (TX)
Practice address
5302 Clear Landing CT
Rosharon, TX 77583-2299
Phone
(219) 308-6594
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1141442TXMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 1141442 TX Yes

Addresses

Primary practice location

5302 Clear Landing CT
Rosharon, TX 77583-2299

Mailing address

5302 Clear Landing CT
Rosharon, TX 77583-2299

Other providers in Rosharon, TX

All providers in Rosharon, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.