Dolla Jean Allison, CNS, NNP
Individual provider Active NPI Critical Care Neonatal Nurse Practitioner · Orem, UT
NPI 1609050608 · NPPES record last updated Aug 26, 2014
Key facts
- NPI
- 1609050608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Neonatal Nurse Practitioner 363LN0005X
- License
- 5557181-4405 (UT)
- Practice address
- 730 W 800 N
Suite 340B
Orem, UT 84057-6318 - Phone
- (801) 655-5425
- Fax
- (801) 655-5426
- NPI assigned
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NNP 689A | ID | MD | Neonatal Nurse Practitioner |
| 5557181-4405 | UT | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Neonatal LC | Neonatal, Critical Care | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 5557181-4405 | UT | Yes |
| Neonatal Nurse Practitioner | 363LN0000X | NNP 689A | ID |
Addresses
Primary practice location
730 W 800 N
Suite 340B
Orem, UT 84057-6318
Mailing address
730 W 800 N
Suite 340B
Orem, UT 84057-6318
Phone (801) 655-5425
Other providers in Orem, UT
- Scot L Allen
- Victoria Anne Allen
- Alliance Behavioral Psychiatry, LLC
- Alliance Behavioral Psychology, LLC
- Alliance Clinical Services
- Melissa Alliston (Buehler)
- Allred Psychological Services
- Aaron Allred
- Chad M Allred
- Joseph Darren Allred
All providers in Orem, UT · Critical Care Neonatal Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2014. 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.