Individual
MRS. JUDITH JACKSON-MALINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
221 13TH AVENUE PL NW, SUITE 202, HICKORY, NC 28601-2596
(828) 322-8484
(828) 324-9526
Mailing address
221 13TH AVENUE PL NW, SUITE 202, HICKORY, NC 28601-2596
(828) 322-8484
(828) 324-9526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201438
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003530
—
NC
Enumeration date
01/27/2006
Last updated
10/09/2007
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