Provider Demographics
NPI:1093313009
Name:ALLEN, JAMIE ANN SHEPPARD (RN)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:ANN SHEPPARD
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 24TH ST NE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-2430
Mailing Address - Country:US
Mailing Address - Phone:253-931-4995
Mailing Address - Fax:
Practice Address - Street 1:1015 24TH ST NE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-2430
Practice Address - Country:US
Practice Address - Phone:253-931-4995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60777661163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool