Ngozi Mary Allison, REGISTERED NURSE

Individual provider Active NPI Registered Nurse · Clovis, CA

NPI 1891406039 · NPPES record last updated Dec 8, 2022

Key facts

NPI
1891406039
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
809557 (CA)
Practice address
2621 Wrenwood Ave
Clovis, CA 93611-8581
Phone
(559) 288-4780
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
809557CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 809557 CA Yes

Addresses

Primary practice location

2621 Wrenwood Ave
Clovis, CA 93611-8581

Mailing address

2621 Wrenwood Ave
Clovis, CA 93611-8581
Phone (559) 288-4780

Other providers in Clovis, CA

All providers in Clovis, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.