Provider Demographics
NPI:1679650394
Name:ALLEN, JANICE ANNE (RNP)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:ANNE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:A
Other - Last Name:GIGGLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2307 RED BUD CV
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-4779
Mailing Address - Country:US
Mailing Address - Phone:501-315-2969
Mailing Address - Fax:
Practice Address - Street 1:4300 W 7TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5446
Practice Address - Country:US
Practice Address - Phone:501-257-6805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPO1150163WX0601X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0601XNursing Service ProvidersRegistered NurseOtorhinolaryngology & Head-Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARVAD000Medicare UPIN