NPI 1346776952

Summer Allen, ATC

Practitioner Prevention Professional Jacksonville, AL

Practice location

Address: 700 Pelham Rd N, Jacksonville, AL 36265-1602
Phone: (256) 782-5526

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 1860 (AL)

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Registry record

NPI: 1346776952
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2017
Record last updated: 3 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.