Individual
KAREN MARIE MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11716 FLOWERING PEACH CT, JACKSONVILLE, FL 32256-6893
(904) 887-8592
Mailing address
11716 FLOWERING PEACH CT, JACKSONVILLE, FL 32256-6893
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11040911
FL
363LP2300X
Primary Care Nurse Practitioner
11040911
FL
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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