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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSIE E. MALLALIEU, P.A.-C.

Active

JESSIE E. MALLALIEU, P.A.-C. is a Physician Assistant healthcare provider located in FREDERICK, Maryland. NPI 1073669784 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FREDERICK, MD

Registration Details

NPI Number
1073669784
Provider Type
Individual
Gender
Female
NPI Issued
Jan 26, 2007 (19.529617001529 yrs)
Last Updated
Mar 22, 2013
License
C02972 (MD)

Practice Information

Address
63 THOMAS JOHNSON DR
SUITE B
FREDERICK, MD, 217024384
Browse MD providers · Browse ZIP 21702
Phone
3016982424
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FREDERICK, MD

Name Credential NPI
MS. MARIA ELENA ADRIANZA-TANGREA P.A. - C. 1891792081
MRS. FELICIA SWILLING LEINEWEBER PA-C 1962409854
MS. TAMMY L WELCH PAC 1477551208
KRISTEN LOPEZ P.A. 1144220591
MS. ROBERTA R TAYLOR PA-C 1033189386
ROGER A HOFFMAN PAC 1770551913
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.