Malone, Jessica M

Malone, Jessica M is an individual health care provider with primary practice located at 77 Casa St Suite 103, San Luis Obispo CA 93405-5803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Malone, Jessica M can be contacted via phone (805) 546-0411.

Contact Information

Primary practice address
77 Casa St Suite 103 San Luis Obispo CA 93405-5803
Phone: (805) 546-0411
Fax: (805) 489-1421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP 16098 California

Profile Details

NPI number 1093828717
LBN Legal business name Malone, Jessica M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jan 11th, 2011 - about 13 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 1093828717 NPPES
California Other NP 16098 NURSE PRACTICER

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