Individual
JENNIFER DAUGHERTY HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E DUNE ST, NAGS HEAD, NC 27959-8848
(252) 449-5200
(252) 449-5205
Mailing address
100 E DUNE ST, NAGS HEAD, NC 27959-8848
(252) 449-5200
(252) 449-5205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200300986
NC
208000000X
Pediatrics Physician
200300986
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135U7
—
NC
Enumeration date
05/31/2005
Last updated
05/21/2014
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