Individual
JENNYFER HOWARD MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
22700 W 55TH TER, SHAWNEE, KS 66226-5602
(913) 422-1825
Mailing address
5434 ABERDEEN ROAD, FAIRWAY, KS 66205
(913) 645-6432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-76132-022
KS
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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