Provider Demographics
NPI:1457717050
Name:JALALI, WHITNEY SARAH (CPNP)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:SARAH
Last Name:JALALI
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MT LEBANON BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1243
Mailing Address - Country:US
Mailing Address - Phone:412-561-7541
Mailing Address - Fax:412-561-2366
Practice Address - Street 1:240 MT. LEBANON BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1243
Practice Address - Country:US
Practice Address - Phone:412-561-7541
Practice Address - Fax:412-561-2366
Is Sole Proprietor?:No
Enumeration Date:2016-01-12
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015663363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics