MRS. JUANITA NICOLE GOLDEN-ALLEN APN NPI 1831686633

NPI Information

NPI: 1831686633
Provider Name: MRS. JUANITA NICOLE GOLDEN-ALLEN, APN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
3801 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 875-3000
Get Directions

MRS. Juanita Nicole Golden-allen, APN is an acute care nurse practitioner in Springfield, MO. MRS. Juanita Nicole Golden-allen, APN NPI is 1831686633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3801 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807-210
Phone: (417) 875-3000

The NPI 1831686633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/17/2018 and was last updated on 1/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	28217110A	INDIANA	No
2	363LA2100X	Nurse Practitioner	Acute Care	71007958A	ILLINOIS	No
3	363LA2100X	Nurse Practitioner	Acute Care	2021029675	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	420100120	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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