Provider Demographics
NPI:1992693204
Name:ALLEN, EYANNA DESHAI
Entity type:Individual
Prefix:
First Name:EYANNA
Middle Name:DESHAI
Last Name:ALLEN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 HARDING PL APT S10
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-3948
Mailing Address - Country:US
Mailing Address - Phone:972-672-2712
Mailing Address - Fax:
Practice Address - Street 1:380 HARDING PL APT S10
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-3948
Practice Address - Country:US
Practice Address - Phone:972-672-2712
Practice Address - Fax:972-672-2712
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program