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Mallory Jacob Walsh
Physician Assistant in Pembroke, New Hampshire
NPI 1780151001

Mallory Jacob Walsh is a Physician Assistant based in Portsmouth, NH. Mallory Jacob Walsh practices in Pembroke, NH. The NPI Number for Mallory Jacob Walsh is 1780151001 and holds a License No. (New Hampshire).

The current practice location address for Mallory Jacob Walsh is 100 Main St Apt 205, Pembroke, NH and can be reached out via phone at 802-274-8902.

Location: 100 Main St Apt 205, Pembroke, NH, 03801-2864
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780151001
Provider Name
Mallory Jacob Walsh
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Main St Apt 205, Pembroke, NH, 03801-2864
Phone Number
802-274-8902
Fax Number
Provider Enumeration Date
10/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Main St Apt 205
City
Pembroke
State
New Hampshire
Zip
03275-1241
Phone Number
802-274-8902
Fax Number
person
Provider Business Mailing Address Details
Address
100 Main St Apt 205
City
Pembroke
State
New Hampshire
Zip
03275-1241
Phone Number
802-274-8902
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
1466 (New Hampshire)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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