Provider Demographics
NPI:1003242546
Name:PULLUM, ALLISON LEIGH (CNP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:LEIGH
Last Name:PULLUM
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:LEIGH
Other - Last Name:TEATERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:C25
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-1583
Mailing Address - Fax:216-444-9890
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:C25
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-1583
Practice Address - Fax:216-444-9890
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2014-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.15138-NP363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care