Most Relevant Information
Provider Data
| NPI Number: | 1003217928 |
| Provider Name: | ALLIE GAMMILL KNICELY FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP126297 |
Most Important Dates
| Enumeration Date: | 09/10/2014 |
| Last Updated: | 11/07/2019 |
Provider Practice Location
4431 TRAVIS ST APT 110
DALLAS
TX
752054136
Practice Location Phone/Fax
| Phone: | 5014547538 |
| Fax: |
Provider Mailing Location
7228 SYRACUSE DR
DALLAS
TX
752141737
Provider Mailing Phone/Fax
| Phone: | 5014547538 |
| Fax: |