IndividualActive
Amanda Allen, AGNP
NPI 1346999315 · Gerontology Nurse Practitioner · Shiloh, IL
Provider details
- NPI number
- 1346999315
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209026073 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1418 Cross St
Div Im Medical Oncology, Ste 180
Shiloh, IL 62269-2914
Phone: (800) 647-2098
Fax: (314) 362-3192
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2022-03-18
- Last updated
- 2025-04-21
- Certified
- 2022-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.