Provider Demographics
NPI:1215169305
Name:GALLAGHER, JAMIE ORTOSKY (FNP-C)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:ORTOSKY
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
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Mailing Address - Street 1:1441 E BROAD ST STE 121
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-1968
Mailing Address - Country:US
Mailing Address - Phone:910-520-1438
Mailing Address - Fax:888-225-1886
Practice Address - Street 1:817 BUCKNER CT
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2806
Practice Address - Country:US
Practice Address - Phone:910-520-1438
Practice Address - Fax:888-225-1886
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-22
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5004470363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily