Provider Demographics
NPI:1255164224
Name:ALLONG-DIAKABANA, JANNELLE PENELOPE
Entity type:Individual
Prefix:MRS
First Name:JANNELLE
Middle Name:PENELOPE
Last Name:ALLONG-DIAKABANA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6554 DIAMOND HITCH DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-7701
Mailing Address - Country:US
Mailing Address - Phone:347-446-5411
Mailing Address - Fax:
Practice Address - Street 1:6554 DIAMOND HITCH DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-7701
Practice Address - Country:US
Practice Address - Phone:347-446-5411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-23
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula