Allie Gammill Knicely
Nurse Practitioner - Family Medicine
4431 Travis St Apt 110
Dallas
, Texas 75205-4136
Allie Gammill Knicely
Nurse Practitioner - Family Medicine
4431 Travis St Apt 110
Dallas
, Texas 75205-4136
(501) 454-7538
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Allie Gammill Knicely
- 7228 Syracuse Dr
- Dallas, TX
- Zip : 75214-1737
- Phone : (501) 454-7538
Second Address
- Allie Gammill Knicely
- 4431 Travis St Apt 110
- Dallas, TX
- Zip : 75205-4136
- Phone : (501) 454-7538
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP126297 | TX |
National Provider Identifier
| NPI | 1003217928 |
|---|---|
| Provider Name | Allie Gammill Knicely |
| First Address | Dallas, TX 75214-1737 |
| Second Address | Dallas, TX 75205-4136 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/09/2014 |
| Last Update Date | 07/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.