Individual
JENNIFER MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC (CRNP)
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-6574
(941) 917-4278
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9377838
FL
363LA2200X
Adult Health Nurse Practitioner
SP009775
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102902703
—
PA
01
—
33181
BCBS
FL
Enumeration date
04/15/2008
Last updated
07/21/2022
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