Jessie E. Mallalieu in Frederick - Physician Assistant
Jessie E. Mallalieu - NPI 1073669784
Jessie E. Mallalieu is a Physician Assistant in Frederick, Maryland. Jessie E. Mallalieu practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessie E. Mallalieu is 1073669784. The last update date is 2013-03-22.
Jessie E. Mallalieu's current location address is 63 Thomas Johnson Dr, Frederick, Maryland. You can contact this provider via phone number 3016982424. The mailing address for Jessie E. Mallalieu is 63 Thomas Johnson Dr, Frederick, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessie E. Mallalieu |
|---|---|
| Address | 63 Thomas Johnson Dr, Frederick, Maryland |
| Phone Number | 3016982424 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C. |
NPI Number Detail
| NPI Number | 1073669784 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2013-03-22 |
Provider Mailing Address Detail
| Address | 63 Thomas Johnson Dr |
|---|---|
| City | Frederick |
| State | Maryland (MD) |
| Post Code | 217024384 |
| Phone Number | 3016982424 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | C02972 |
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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 perfor |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jessie E. Mallalieu by the Centers for Medicare & Medicaid Services?
The Jessie E. Mallalieu has been assigned the NPI (National Provider Identifier) 1073669784 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jessie E. Mallalieu?
The Jessie E. Mallalieu is situated at 63 Thomas Johnson Dr, in the city of Frederick, state of MD, with the zip code 217024384.
What is Jessie E. Mallalieu's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jessie E. Mallalieu is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073669784 to Jessie E. Mallalieu?
The Centers for Medicare & Medicaid Services originally issued the 1073669784 to Jessie E. Mallalieu on 2007-01-26.
When was the information related to Jessie E. Mallalieu most recently updated or refreshed?
The details pertaining to the Jessie E. Mallalieu, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-03-22.