Malone, Jennifer

Malone, Jennifer is an individual health care provider with primary practice located at 1700 S Tamiami Trl , Sarasota FL 34239-3509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Malone, Jennifer can be contacted via phone (941) 917-6574.

Contact Information

Primary practice address
1700 S Tamiami Trl Sarasota FL 34239-3509
Phone: (941) 917-6574
Fax: (941) 917-4278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP009775 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9377838 Florida

Profile Details

NPI number 1255505962
LBN Legal business name Malone, Jennifer
Credentials ANP-BC (CRNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Jul 21st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255505962 NPPES
Florida Other 33181 BCBS
Florida MEDICAID 102902703 BCBS

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