Provider Demographics
NPI:1831753391
Name:VALLEE, ALLISON A (APRN)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:A
Last Name:VALLEE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 WOLVERINE RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:TN
Mailing Address - Zip Code:38260-5911
Mailing Address - Country:US
Mailing Address - Phone:731-446-7501
Mailing Address - Fax:
Practice Address - Street 1:1012 S MILES AVE
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:TN
Practice Address - Zip Code:38261-5432
Practice Address - Country:US
Practice Address - Phone:731-884-9993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25849363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner