Provider Demographics
NPI:1861838914
Name:ALLEN, JASMINE PAIGE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:PAIGE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 ARKANSAS RD
Mailing Address - Street 2:
Mailing Address - City:HOHENWALD
Mailing Address - State:TN
Mailing Address - Zip Code:38462-5318
Mailing Address - Country:US
Mailing Address - Phone:931-729-3561
Mailing Address - Fax:931-729-5029
Practice Address - Street 1:269 ARKANSAS RD
Practice Address - Street 2:
Practice Address - City:HOHENWALD
Practice Address - State:TN
Practice Address - Zip Code:38462-5318
Practice Address - Country:US
Practice Address - Phone:931-729-3561
Practice Address - Fax:931-729-5029
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPN0000078152164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN164WOOOOOXOtherHEALTH DEPT