Provider Demographics
NPI:1841533627
Name:ALLEN, MONICA SHUNITA (FNP)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:SHUNITA
Last Name:ALLEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 JENNESS LN
Mailing Address - Street 2:UNIT G
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-4239
Mailing Address - Country:US
Mailing Address - Phone:757-218-1073
Mailing Address - Fax:
Practice Address - Street 1:700 S SYCAMORE ST
Practice Address - Street 2:STE #
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-5802
Practice Address - Country:US
Practice Address - Phone:804-862-2878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-31
Last Update Date:2013-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169986363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily