STEPHANIE SLACK ALLEN (NPI# 1851848683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851848683 |
| Entity Type | Individual |
| Full Name | STEPHANIE SLACK ALLEN |
| Credential | DNP, APRN, PMHNP-BC |
| Practice Address |
408 Virginia St Paris TN 38242-5341 |
| Mailing Address |
101 Alberta St Martin TN 38237-3501 |
| Practice Telephone | 7316420521 |
| Mailing Telephone | 7315145774 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
21694 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
408 VIRGINIA ST |
| City | PARIS |
| State | TN |
| Zip Code | 38242-5341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730139569 | Mary Helen Wood | Nurse Practitioner | 408 Virginia St, Paris, TN 38242-5341 | 2006-05-11 |
| 1225667702 | Drew Lewis | Nurse Practitioner | 408 Virginia St, Paris, TN 38242-5341 | 2020-04-06 |
| 1487130589 | John Gordon | Nurse Practitioner | 408 Virginia St, Paris, TN 38242-5341 | 2018-07-12 |
| 1073000188 | Chad Coleman | Counselor | 408 Virginia St, Paris, TN 38242-5341 | 2018-04-16 |
| 1669972709 | Lillie M Holcomb | Counselor | 408 Virginia St, Paris, TN 38242-5341 | 2018-02-15 |
| 1598112898 | Brian Mcmillin | Social Worker | 408 Virginia St, Paris, TN 38242-5341 | 2016-05-17 |
| 1982077137 | Jennifer Ray | Social Worker | 408 Virginia St, Paris, TN 38242-5341 | 2015-11-10 |
| 1285007435 | Tonya Brown | Social Worker | 408 Virginia St, Paris, TN 38242-5341 | 2015-11-10 |
| 1386022119 | Melanie Pack | Nurse Practitioner | 408 Virginia St, Paris, TN 38242-5341 | 2015-05-13 |
| 1518354687 | Michael Burkeen | Counselor | 408 Virginia St, Paris, TN 38242-5341 | 2015-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374732 | Renee Michelle Girouard | Physician Assistant | 209 B Tyson Ave, Paris, TN 38242 | 2020-04-07 |
| 1255960134 | Alexander P Patrone | Student in an Organized Health Care Education/Training Program | 302b Tyson Ave, Paris, TN 38242 | 2020-04-03 |
| 1457980302 | Aswathy Krishnakumar | Student in an Organized Health Care Education/Training Program | 302b Tyson Avenue, Paris, TN 38242 | 2020-04-03 |
| 1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
| 1588199152 | Taylor Wilson | Dentist | 3485 Highway 79 N, Paris, TN 38242 | 2017-04-20 |
| 1215472592 | Elizabeth Lane Mcintosh | Behavioral Analyst | 28 Fieldstone Dr, Paris, TN 38242 | 2016-12-22 |
| 1124574959 | Patty Wilson | Counselor | 2555 E. Wood Street, Paris, TN 38242 | 2016-08-31 |
| 1942601539 | Trustworthy Anesthesia Care | Nurse Anesthetist, Certified Registered | 1010 Green Hill Dr, Paris, TN 38242 | 2014-09-15 |
| 1083963946 | West Tennessee Physical Medicine, Pllc | General Practice | 1024 Mineral Wells Avenue, Paris, TN 38242 | 2012-09-06 |
| 1316242514 | Henry Co. Health Dept. | Skilled Nursing Facility | 803 Joy St., Paris, TN 38242 | 2011-01-19 |
| Find all providers in zip 38242 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861867798 | Holly Gray | Nurse Practitioner | 5 Linville Dr Ste 105, Paris, KY 40361-2165 | 2015-12-03 |
| 1326330697 | Christina Donielle Burns | Nurse Practitioner | 3605 Ne Loop 286 Ste 1800, Paris, TX 75460-5086 | 2011-05-05 |
| 1225110257 | Karen A Pratt | Nurse Practitioner | 408 Virginia, Paris, TN 38242 | 2006-10-19 |
| 1730139569 | Mary Helen Wood | Nurse Practitioner | 408 Virginia St, Paris, TN 38242-5341 | 2006-05-11 |
| 1932105152 | Brian Jay Phillips | Nurse Practitioner | 2131 Clarksville St, Paris, TX 75460-6245 | 2005-06-22 |
| 1225667702 | Drew Lewis | Nurse Practitioner | 408 Virginia St, Paris, TN 38242-5341 | 2020-04-06 |
| 1487130589 | John Gordon | Nurse Practitioner | 408 Virginia St, Paris, TN 38242-5341 | 2018-07-12 |
| 1770096232 | Tiffaney Coleman | Nurse Practitioner | 3737 Lamar Ave, Paris, TX 75460-9462 | 2017-11-07 |
| 1811416779 | Franklin James Holcomb | Nurse Practitioner | 301 Tyson Ave, Paris, TN 38242-4544 | 2017-09-12 |
| 1386022119 | Melanie Pack | Nurse Practitioner | 408 Virginia St, Paris, TN 38242-5341 | 2015-05-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.