Jessica M Malone in Pismo Beach - Nurse Practitioner
Jessica M Malone - NPI 1093828717
Jessica M Malone is a Nurse Practitioner in Pismo Beach, California. Jessica M Malone practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jessica M Malone is 1093828717. The last update date is 2011-01-11.
Jessica M Malone's current location address is 921 Oak Park Blvd, Pismo Beach, California. You can contact this provider via phone number 8055460411 and fax number 8054891421. The mailing address for Jessica M Malone is 921 Oak Park Blvd, Pismo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica M Malone |
|---|---|
| Address | 921 Oak Park Blvd, Pismo Beach, California |
| Phone Number | 8055460411 |
| Fax Number | 8054891421 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1093828717 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2011-01-11 |
Provider Mailing Address Detail
| Address | 921 Oak Park Blvd |
|---|---|
| City | Pismo Beach |
| State | California (CA) |
| Post Code | 934493264 |
| Phone Number | 8055460411 |
| Fax Number | 8054891421 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP 16098 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP 16098 | CA | NURSE PRACTICER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jessica M Malone by the Centers for Medicare & Medicaid Services?
The Jessica M Malone has been assigned the NPI (National Provider Identifier) 1093828717 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jessica M Malone's facilities are situated?
The facilities of Jessica M Malone are physically located at the following address: 921 Oak Park Blvd, Pismo Beach, CA, 934493264.
What is the Jessica M Malone's area of specialization and corresponding taxonomy classification?
The Jessica M Malone's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
When was the Jessica M Malone's 1093828717 issued?
The Jessica M Malone's 1093828717 was issued on 2006-08-16.
As of what date were the details related to Jessica M Malone most recently updated or revised?
The information pertaining to Jessica M Malone, including its address, specialty, and other relevant details, was last updated or revised on 2011-01-11.