Individual
MRS. JENNIFER ASHLEY GIALLORETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4212 OLD WILLIAM PENN HWY, MURRYSVILLE, PA 15668-1901
(724) 837-4070
(724) 837-8836
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055960
PA
363AM0700X
Medical Physician Assistant
MA055960
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2P7777
MEDICARE ID
PA
Enumeration date
04/24/2013
Last updated
10/31/2023
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