Individual provider · Type 1 NPI
Jill S. Gallagher
Gerontology Nurse Practitioner · Boonton, NJ
NPI number
1215000856
Active
Practice location
223 W Main St Ste 3
Boonton, NJ 07005-1165
Fax (973) 335-8986
Mailing address
PO Box 95000, LB#7550
Philadelphia, PA 19195-7550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 26NN009522900 (NJ) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NN09522900 (NJ) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1215000856
Jill S. Gallagher's National Provider Identifier is 1215000856, issued on Nov 15, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boonton, NJ. The record was last updated on May 13, 2024.