Provider Demographics
NPI:1841625423
Name:ALLYN, JENNIFER LEE (FNP, AGACNP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEE
Last Name:ALLYN
Suffix:
Gender:F
Credentials:FNP, AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 BRIXWORTH LN
Mailing Address - Street 2:APT. 12
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2042
Mailing Address - Country:US
Mailing Address - Phone:619-540-4578
Mailing Address - Fax:
Practice Address - Street 1:2020 21ST AVE S
Practice Address - Street 2:SUITE 201
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4354
Practice Address - Country:US
Practice Address - Phone:615-269-0652
Practice Address - Fax:615-269-0135
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN17838363LA2200X, 363LG0600X
TN000017838363LF0000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology