Individual
JACQUELYN OVIDA WHEATLEY-MALONE
Active
Individual
JACQUELYN OVIDA WHEATLEY-MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP2606792
FL
363LF0000X
Family Nurse Practitioner
Primary
RN314815
GA
Other
Enumeration date
01/08/2007
Last updated
02/07/2023
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