Gallup, Susan Jennifer

Gallup, Susan Jennifer is an individual health care provider with primary practice located at 36000 Darnall Loop Newborn Clinic 2Nd Floor, Fort Hood TX 76544-5095. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Gallup, Susan Jennifer can be contacted via phone (254) 288-8440.

Contact Information

Primary practice address
36000 Darnall Loop Newborn Clinic 2Nd Floor Fort Hood TX 76544-5095
Phone: (254) 288-8440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 612117 Texas

Profile Details

NPI number 1932213667
LBN Legal business name Gallup, Susan Jennifer
Credentials RN,MSN,CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Aug 18th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932213667 NPPES
Texas MEDICAID 1651853

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