Provider Demographics
NPI:1578292637
Name:CRAIG, ALLISON (FNP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:CRAIG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10987 SHELDON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-4702
Mailing Address - Country:US
Mailing Address - Phone:813-467-4800
Mailing Address - Fax:813-467-4252
Practice Address - Street 1:10987 SHELDON RD STE 200
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-4702
Practice Address - Country:US
Practice Address - Phone:813-467-4800
Practice Address - Fax:813-467-4252
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11014041363LF0000X
FLAPRN11014041363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily