Provider Demographics
NPI:1306368469
Name:KREBS, ALLISON (APRN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:KREBS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8833 PERIMETER PARK BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1111
Mailing Address - Country:US
Mailing Address - Phone:904-651-1123
Mailing Address - Fax:904-643-4404
Practice Address - Street 1:8833 PERIMETER PARK BLVD STE 104
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1111
Practice Address - Country:US
Practice Address - Phone:904-651-1123
Practice Address - Fax:904-643-4404
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9291867363L00000X
FLARNP9291867363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104599200Medicaid
FLARNP9291867OtherFLORIDA DEPARTMENT OF HEALTH
FLC1WUEOtherBCBS
FLLL494OtherMEDICARE