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Individual

DAWN C. MALCOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
106 AVENUE B, SUITE B, BOGALUSA, LA 70427
(985) 730-6950
(985) 545-1036
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(985) 730-6950
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
902463
MS
363LF0000X
Family Nurse Practitioner
Primary
AP09749
LA

Other

Enumeration date
03/01/2018
Last updated
02/26/2026
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