Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Gregory Allen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447190186

Jack Gregory Allen is a Student in an Organized Health Care Education/Training Program in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2026.

Licensed in
MO
In the registry since
2026

Practice location Address checks out

1100 Virginia Ave
Columbia, MO 65212-0001
Phone: (573) 884-7796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MO)

Record details

NPI number1447190186
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2026
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address1612 Tennis Ln, Sheboygan, WI 53083-3457

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