Provider Demographics
NPI:1033560933
Name:HUNT, ALLISON ELAINE (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:ELAINE
Last Name:HUNT
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 N MCKNIGHT RD
Mailing Address - Street 2:APT B
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-4929
Mailing Address - Country:US
Mailing Address - Phone:575-640-1611
Mailing Address - Fax:
Practice Address - Street 1:1751 CLARKSON RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-4979
Practice Address - Country:US
Practice Address - Phone:636-519-9559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016019745363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics