Provider Demographics
NPI:1598849259
Name:ALLEN, JENNIFER FINGER (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:FINGER
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:MICHELLE
Other - Last Name:FINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:304 KINGSLEY LAKE DR
Mailing Address - Street 2:#603
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-3042
Mailing Address - Country:US
Mailing Address - Phone:904-342-4242
Mailing Address - Fax:904-342-4243
Practice Address - Street 1:304 KINGSLEY LAKE DR
Practice Address - Street 2:#603
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32092-3042
Practice Address - Country:US
Practice Address - Phone:904-342-4242
Practice Address - Fax:904-342-4243
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL382233800Medicaid
FL64331OtherBLUE CROSS BLUE SHIELD