EBONIE RENATA ALLEN

BOND COMMUNITY HEALTH CENTER INC

Dr EBONIE RENATA ALLEN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2013.

Contact

BOND COMMUNITY HEALTH CENTER INC

1720 S GADSDEN ST
TALLAHASSEE
FL
323015506

Tel: 8505764073212

EBONIE RENATA ALLEN Information

Npi 1447672480
Pac Id 8628344314
Professional Enrollment Id I20171025000330
Last Name ALLEN
First Name EBONIE
Middle Name RENATA
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BOND COMMUNITY HEALTH CENTER INC
Group Practice Pac Id 5294646766
Number Of Group Practice Members 6
Line 1 Street Address 1720 S GADSDEN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TALLAHASSEE
State FL
Zip Code 323015506
Phone Number 8505764073212
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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