Wellformed AI

NPI 1386735793 · live from the CMS NPI Registry

Jean M. Gallagher, APN

Nurse Practitioner in Wilmington, DE. National Provider Identifier 1386735793, active.

NPI record

NPI1386735793 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner 363L00000X
Practice location1600 Rockland Rd, Wilmington, DE 19803
Practice phone302-651-4200
Mailing addressPo Box 191, Rockland, DE 19732
EnumeratedSeptember 28, 2006
Last updatedJune 6, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner363L00000XL1-0011579 (DE)
Nurse Practitioner, Pediatrics363LP0200XL10011579 (DE)
Nurse Practitioner primary363L00000XL10011579 (DE)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.