Provider Demographics
NPI:1003141029
Name:PAPPALARDO, JENNIFER LYNNE (DPM)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LYNNE
Last Name:PAPPALARDO
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Gender:F
Credentials:DPM
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Mailing Address - Street 1:5300 E ERICKSON DR STE 118
Mailing Address - Street 2:SUITE 112
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2809
Mailing Address - Country:US
Mailing Address - Phone:520-326-6766
Mailing Address - Fax:520-740-1949
Practice Address - Street 1:123 SUMMER ST
Practice Address - Street 2:DEPARTMENT OF PODIATRY
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1216
Practice Address - Country:US
Practice Address - Phone:508-363-7390
Practice Address - Fax:508-363-7560
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2013-07-12
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Provider Licenses
StateLicense IDTaxonomies
AZ0751213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery