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Individual

JENNIFER MALMSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
380 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3476
(859) 341-3015
(593) 413-2158
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-3015
(859) 341-3215

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004448
KY
363LF0000X
Family Nurse Practitioner
APRN.CNP.0030545
OH

Other

Enumeration date
07/19/2005
Last updated
12/11/2025
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