Provider Demographics
NPI:1043727829
Name:ALLEN, JENNIFER A (CRNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:ALLEN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:A
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:920 BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:ERDENHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:19038-7702
Mailing Address - Country:US
Mailing Address - Phone:215-233-4485
Mailing Address - Fax:
Practice Address - Street 1:5445 LANARK RD STE 300
Practice Address - Street 2:
Practice Address - City:CENTER VALLEY
Practice Address - State:PA
Practice Address - Zip Code:18034-8694
Practice Address - Country:US
Practice Address - Phone:484-526-7300
Practice Address - Fax:866-449-5832
Is Sole Proprietor?:No
Enumeration Date:2018-01-03
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018164363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily