Individual
MRS. JASMINE JANAE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
400 MEDICAL DR, HAMPTON, VA 23666-1767
(757) 788-0421
Mailing address
400 MEDICAL DR, HAMPTON, VA 23666-1767
(757) 788-0421
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024183056
VA
Other
Enumeration date
11/03/2021
Last updated
05/09/2022
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