Individual provider · Type 1 NPI

Mallory Jacob Walsh

Physician Assistant · Pembroke, NH

NPI number 1780151001 Active

Practice location

100 Main St Apt 205
Pembroke, NH 03275-1241

Mailing address

111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864

Specialties and licenses

TaxonomyCodeLicense
Urgent Care Clinic/Center 261QU0200XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X1466 (NH)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780151001

Mallory Jacob Walsh's National Provider Identifier is 1780151001, issued on Oct 24, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pembroke, NH. The record was last updated on Apr 18, 2019.