Malloy, Jacqueline A.

Malloy, Jacqueline A. is an sole proprietor health care provider with primary practice located at 101 Riverstone Vis , Blue Ridge GA 30513-6648. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Malloy, Jacqueline A. can be contacted via phone (706) 258-4400.

Contact Information

Primary practice address
101 Riverstone Vis Blue Ridge GA 30513-6648
Phone: (706) 258-4400
Fax: (706) 632-3585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 9164727 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 103102 Georgia

Profile Details

NPI number 1861445447
LBN Legal business name Malloy, Jacqueline A.
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Mar 30th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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