Halloran, Jennifer Daugherty

Halloran, Jennifer Daugherty is an individual health care provider with primary practice located at 100 E Dune St , Nags Head NC 27959-8848. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Halloran, Jennifer Daugherty can be contacted via phone (252) 449-5200.

Contact Information

Primary practice address
100 E Dune St Nags Head NC 27959-8848
Phone: (252) 449-5200
Fax: (252) 449-5205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200300986 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200300986 North Carolina

Profile Details

NPI number 1255334652
LBN Legal business name Halloran, Jennifer Daugherty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated May 21st, 2014 - about 12 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 1255334652 NPPES
North Carolina MEDICAID 135U7

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