Provider Demographics
NPI:1053029256
Name:DUGAN, ALLISON JANE (RN)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:JANE
Last Name:DUGAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-5278
Mailing Address - Country:US
Mailing Address - Phone:508-510-9629
Mailing Address - Fax:
Practice Address - Street 1:2 HAMPSHIRE ST
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-2896
Practice Address - Country:US
Practice Address - Phone:617-472-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2317883163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse