Provider Demographics
NPI:1316013162
Name:ARNETT, ALLISON J (NP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:J
Last Name:ARNETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1341 W MOCKINGBIRD LN STE 600W
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-6904
Mailing Address - Country:US
Mailing Address - Phone:469-943-2004
Mailing Address - Fax:469-943-2003
Practice Address - Street 1:1341 W MOCKINGBIRD LN STE 600W
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-6904
Practice Address - Country:US
Practice Address - Phone:469-943-2004
Practice Address - Fax:469-943-2004
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP112126363LF0000X
TX584672363LF0000X
FL11021208363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8Y3486OtherBCBS
TX101061100OtherFIRSTCARE
TX180290202Medicaid
TX7546490OtherAETNA
TX5892790001Medicare NSC
TX7546490OtherAETNA
TX8K1782Medicare PIN