MS. ANISA MEGHAN JALLAL PA-C NPI 1841841822

NPI Information

NPI: 1841841822
Provider Name: MS. ANISA MEGHAN JALLAL, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: GENESISCARE USA OF FLORIDA LLC

PECOS Registration: Yes

Address:
7335 GLADIOLUS DR
FORT MYERS, FL
ZIP 33908
Phone: (239) 985-1925
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MS. Anisa Meghan Jallal, PA-C is a medical physician assistant in Fort Myers, FL with 5 years of experience. MS. Anisa Meghan Jallal, PA-C NPI is 1841841822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7335 GLADIOLUS DR
FORT MYERS, FL
ZIP 33908-101
Phone: (239) 985-1925
Fax: (239) 321-6044

The NPI 1841841822 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2019 and was last updated on 9/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1167615	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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