Provider Demographics
NPI:1609119312
Name:MALONE, ALLISON D (APN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:D
Last Name:MALONE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:D
Other - Last Name:ENGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1021 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:TN
Mailing Address - Zip Code:37058-3302
Mailing Address - Country:US
Mailing Address - Phone:931-232-5329
Mailing Address - Fax:931-232-7247
Practice Address - Street 1:1021 SPRING ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:TN
Practice Address - Zip Code:37058-3302
Practice Address - Country:US
Practice Address - Phone:931-232-5329
Practice Address - Fax:931-232-7247
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000017473363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily