Organization Active NPI

Jolyn M Allen Pmhnp PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1619342474
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JOLYN M ALLEN PMHNP PLLC
Practice address
3109 6TH Ave
Fort Worth, TX 76110-3800
Phone
(682) 312-7339
NPI assigned
Dec 4, 2015
Last updated
Dec 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Jolyn AllenNPI 1750753885
Title
Biller
Phone
(214) 718-4501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

3109 6TH Ave
Fort Worth, TX 76110-3800

Mailing address

949 Gibbs Xing
Coppell, TX 75019-7376
Phone (214) 718-4501

Other identifiers 1

IdentifierTypeStateIssuer
1750753885OtherTXNPI # INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

4225 Woods Pl
Abilene, TX 79602
Phone (325) 468-8782

8855 Valley Ranch Pkwy W
Irving, TX 75063
Phone (469) 619-0847

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1619342474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 GIBBS XING",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197376",
            "telephone_number": "214-718-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 6TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103800",
            "telephone_number": "682-312-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLYN M ALLEN PMHNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JOLYN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "214-718-4501"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # INDIVIDUAL",
            "identifier": "1750753885",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.