Basic Information
Provider Information
NPI: 1639547086
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARLING
FirstName: JENNIFER
MiddleName: L.
NamePrefix:  
NameSuffix:  
Credential: N.P
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 740 E STATE ST
Address2:  
City: SHARON
State: PA
PostalCode: 161463328
CountryCode: US
TelephoneNumber: 7429383911
FaxNumber: 7249837269
Practice Location
Address1: 740 E STATE ST
Address2:  
City: SHARON
State: PA
PostalCode: 161463328
CountryCode: US
TelephoneNumber: 7249833911
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/02/2015
LastUpdateDate: 05/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XCOA.17687-NPOHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


Home