Jacquelyn Ovida Wheatley-Malone in Gainesville - Family

Jacquelyn Ovida Wheatley-Malone - NPI 1366590408

Jacquelyn Ovida Wheatley-Malone is a Family in Gainesville, Georgia. Jacquelyn Ovida Wheatley-Malone practices all healthcare services and medical treatments related to Family. The NPI Number for Jacquelyn Ovida Wheatley-Malone is 1366590408. The last update date is 2023-02-07.

Jacquelyn Ovida Wheatley-Malone's current location address is 200 S Enota Dr Ne Ste 200, Gainesville, Georgia. You can contact this provider via phone number 7705342020. The mailing address for Jacquelyn Ovida Wheatley-Malone is 200 S Enota Dr Ne Ste 200, Gainesville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacquelyn Ovida Wheatley-Malone
Address 200 S Enota Dr Ne Ste 200, Gainesville, Georgia
Phone Number 7705342020
Fax Number
Sole Proprietor Y
Credentials ANP

NPI Number Detail

NPI Number 1366590408
Provider Enumeration Date 2007-01-08
Last Updated Date 2023-02-07

Provider Mailing Address Detail

Address 200 S Enota Dr Ne Ste 200
City Gainesville
State Georgia (GA)
Post Code 305013466
Phone Number 7705342020
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No RN314815
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Jacquelyn Ovida Wheatley-Malone

What is the unique identifier code issued to Jacquelyn Ovida Wheatley-Malone by the Centers for Medicare & Medicaid Services (CMS)?

The Jacquelyn Ovida Wheatley-Malone has been assigned the NPI (National Provider Identifier) 1366590408. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Jacquelyn Ovida Wheatley-Malone's physical address?

The Jacquelyn Ovida Wheatley-Malone is physically located at 200 S Enota Dr Ne Ste 200, in the city of Gainesville, GA, with the postal code 305013466.

What is Jacquelyn Ovida Wheatley-Malone's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jacquelyn Ovida Wheatley-Malone's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1366590408 to Jacquelyn Ovida Wheatley-Malone?

The Centers for Medicare & Medicaid Services assigned the 1366590408 to Jacquelyn Ovida Wheatley-Malone on 2007-01-08.

As of what date were the Jacquelyn Ovida Wheatley-Malone's details last updated?

The information pertaining to the Jacquelyn Ovida Wheatley-Malone, including its address, specialty, and other details, was most recently updated on 2023-02-07.

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