Provider Demographics
NPI:1407051436
Name:TOWNLEY, ALLISON L (PNP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:L
Last Name:TOWNLEY
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:L
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PNP
Mailing Address - Street 1:PO BOX 99371
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76199-0371
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-7347
Practice Address - Street 1:2716 TIBBETS DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6915
Practice Address - Country:US
Practice Address - Phone:817-571-6644
Practice Address - Fax:817-685-7951
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX701900363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics