Provider Demographics
NPI:1952374886
Name:GERMAN, ALLISON JENNETT (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:JENNETT
Last Name:GERMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7060 STATE ROUTE 104
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-3501
Mailing Address - Country:US
Mailing Address - Phone:315-312-4100
Mailing Address - Fax:
Practice Address - Street 1:1 RUDOLPH RD.
Practice Address - Street 2:WALKER HEALTH CENTER SUNY OSWEGO
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126
Practice Address - Country:US
Practice Address - Phone:315-312-4100
Practice Address - Fax:315-312-5409
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-10
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF320029-1363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ57141Medicare UPIN
NYIA0852Medicare PIN