Jacqueline A. Malloy in Canton - Nurse Practitioner
Jacqueline A. Malloy - NPI 1861445447
Jacqueline A. Malloy is a Nurse Practitioner in Canton, Georgia. Jacqueline A. Malloy practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jacqueline A. Malloy is 1861445447. The last update date is 2010-03-30.
Jacqueline A. Malloy's current location address is 804 Waterford Estates Mnr, Canton, Georgia. You can contact this provider via phone number 7707041995 and fax number 7066323585. The mailing address for Jacqueline A. Malloy is 804 Waterford Estates Mnr, Canton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline A. Malloy |
|---|---|
| Address | 804 Waterford Estates Mnr, Canton, Georgia |
| Phone Number | 7707041995 |
| Fax Number | 7066323585 |
| Sole Proprietor | Y |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1861445447 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2010-03-30 |
Provider Mailing Address Detail
| Address | 804 Waterford Estates Mnr |
|---|---|
| City | Canton |
| State | Georgia (GA) |
| Post Code | 301149422 |
| Phone Number | 7707041995 |
| Fax Number | 7066323585 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | ARNP 9164727 |
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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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What is the Jacqueline A. Malloy's 1861445447?
The Jacqueline A. Malloy's NPI (National Provider Identifier) Number is 1861445447. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jacqueline A. Malloy located?
The Jacqueline A. Malloy is located at 804 Waterford Estates Mnr, Canton, GA 301149422.
What is the Jacqueline A. Malloy's specialty and taxonomy code?
The Jacqueline A. Malloy's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1861445447 to Jacqueline A. Malloy?
The Jacqueline A. Malloy received its 1861445447 assignment from the Centers for Medicare & Medicaid Services on 2006-05-18.
As of what date was the information regarding Jacqueline A. Malloy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacqueline A. Malloy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-30.