Provider Demographics
NPI:1992973747
Name:TALLEY, ALLISON W (MSNCNP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:W
Last Name:TALLEY
Suffix:
Gender:F
Credentials:MSNCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 W LANE AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3538
Mailing Address - Country:US
Mailing Address - Phone:614-457-4827
Mailing Address - Fax:614-457-9733
Practice Address - Street 1:1315 W LANE AVE
Practice Address - Street 2:SUITE D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3538
Practice Address - Country:US
Practice Address - Phone:614-457-4827
Practice Address - Fax:614-457-9733
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH08028363LX0001X
OH285209163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH08028OtherLICENSE