Individual
JILL S GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 W MAIN ST STE 3, BOONTON, NJ 07005-1165
(973) 335-8656
(973) 335-8986
Mailing address
PO BOX 95000, LB#7550, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NN009522900
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NN09522900
NJ
Other
Enumeration date
11/15/2006
Last updated
05/13/2024
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