Priscilla Jo Bryan Allen, PMHNP-BC, FNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Rocky Mount, NC
NPI 1992074652 · NPPES record last updated Oct 23, 2020
Key facts
- NPI
- 1992074652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5005422 (NC)
- Practice address
- 90 Guardian CT
Rocky Mount, NC 27804-3017 - Phone
- (252) 212-3350
- NPI assigned
- Dec 23, 2011
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227627 | NC | MD | Registered Nurse |
| 5005422 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmville Internal Medicine PA | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 227627 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5005422 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5005422 | NC | Yes |
Addresses
Primary practice location
90 Guardian CT
Rocky Mount, NC 27804-3017
Mailing address
PO Box 2723
Rocky Mount, NC 27802-2723
Phone (252) 212-6802
Other providers in Rocky Mount, NC
- Jeston Alger
- Reece Alkire
- All Day Forward Logistics, LLC
- All in One Home Care Inc.
- All-Shift Home Health Agency LLC
- Susan Dawn Allen
- Allergy and Asthma Specialty Group, P. a.
- Almands Drug Store #1
- Almands Drugstore
- Almarch Family Care 1, LLC
All providers in Rocky Mount, NC · Psychiatric/Mental Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2020. 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.