Jacqueline Ann Gallagher, ACNP
Individual provider Active NPI Acute Care Clinical Nurse Specialist · Lancaster, NY
NPI 1962695445 · NPPES record last updated Aug 20, 2007
Key facts
- NPI
- 1962695445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Clinical Nurse Specialist 364SA2100X
- License
- 43-430232 (NY)
- Practice address
- 123 Stony Rd
Lancaster, NY 14086-1518 - Phone
- (716) 684-9434
- NPI assigned
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43-430232 | NY | MD | Acute Care Clinical Nurse Specialist |
| 30-303487 | NY | MD | Adult Health Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | 43-430232 | NY | Yes |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 30-303487 | NY |
Addresses
Primary practice location
123 Stony Rd
Lancaster, NY 14086-1518
Mailing address
123 Stony Rd
Lancaster, NY 14086-1518
Phone (716) 684-9434
Other providers in Lancaster, NY
- Kevin M Flanigan
- Brittany Flynn
- Michelle Renee Foster
- Donna J Fraser
- Melissa Frawley
- Susan Garguiolo
- Amy Elizabeth Gattuso
- Jordan Stephen Gaydos
- Wendy Gellman
- Tiffany Boquard Genewick
All providers in Lancaster, NY · Acute Care Clinical Nurse Specialist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.