Provider Demographics
NPI:1750148524
Name:ALLEN, PAULA (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8215 HIGH POINT LN
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32404-5367
Mailing Address - Country:US
Mailing Address - Phone:850-896-6085
Mailing Address - Fax:
Practice Address - Street 1:8215 HIGH POINT LN
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32404-5367
Practice Address - Country:US
Practice Address - Phone:850-896-6085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11031546363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily