Deborah Jean Allen
Individual provider Active NPI Licensed Practical Nurse · Kennett, MO
NPI 1962062182 · NPPES record last updated Jun 19, 2019
Key facts
- NPI
- 1962062182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 2001014441 (MO)
- Practice address
- 875 State Route VV
Kennett, MO 63857-9108 - Phone
- (573) 888-5925
- NPI assigned
- Jun 19, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001014441 | MO | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2001014441 | MO | Yes |
Addresses
Primary practice location
875 State Route VV
Kennett, MO 63857-9108
Mailing address
875 State Route VV
Kennett, MO 63857-9108
Phone (573) 888-5925
Other providers in Kennett, MO
- Devon Abraham
- Kasey Jo Adair
- Fancilla Adams
- Lacey Allen
- Patricia Ann Allen
- Phyllis Laverne Allen
- Stella Michelle Allen
- Tabitha Allen
All providers in Kennett, MO · Licensed Practical Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2019. 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.