Individual
NICKIE MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 SHELBI DR, OXFORD, MS 38655-7401
(504) 430-2090
Mailing address
121 SHELBI DR, OXFORD, MS 38655-7401
(504) 430-2090
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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