Healthcare Provider Details

I. General information

NPI: 1891658845
Provider Name (Legal Business Name): AMRI JIOVANNI PULLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 S MARKET ST
MECHANICSBURG PA
17055-4726
US

IV. Provider business mailing address

1111 S MARKET ST
MECHANICSBURG PA
17055-4726
US

V. Phone/Fax

Practice location:
  • Phone: 717-409-9848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: