Individual provider · Type 1 NPI

Misty Jo Gallegos, APRN, CPNP-PC

Pediatric Nurse Practitioner · Lafayette, IN

NPI number 1629796982 Active

Practice location

2600 Greenbush St
Lafayette, IN 47904-2477

Mailing address

1101 Lambsdowne Ln
West Lafayette, IN 47906-8717

Other practice locations

  • 5165 Mccarty Ln, Lafayette, IN 47905-8764 · (765) 838-5333

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X28152890A (IN)
Pediatric Nurse Practitioner Primary 363LP0200X71014809A (IN)
Registered Nurse 163W00000X28152890A (IN)
Neonatal Intensive Care Registered Nurse 163WN0002X28152890C (IN)
Registered Nurse 163W00000X604722 (CA)
Pediatric Nurse Practitioner 363LP0200X28152890A (IN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1629796982

Misty Jo Gallegos, APRN, CPNP-PC's National Provider Identifier is 1629796982, issued on Aug 22, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lafayette, IN. The record was last updated on Jan 16, 2024.