Provider Demographics
NPI:1619792918
Name:ALLEN, EVER B (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:EVER
Middle Name:B
Last Name:ALLEN
Suffix:
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-9188
Mailing Address - Country:US
Mailing Address - Phone:601-678-1758
Mailing Address - Fax:
Practice Address - Street 1:433 PINEHURST DR
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-9188
Practice Address - Country:US
Practice Address - Phone:601-678-1758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS900375163W00000X
MS907106363LP0808X
WAAP61645871363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse