Individual
JESSICA TAYLOR MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9377 E BELL RD STE 143, SCOTTSDALE, AZ 85260-1503
(480) 619-4097
(480) 619-4098
Mailing address
9377 E BELL RD STE 143, SCOTTSDALE, AZ 85260-1503
(480) 619-4097
(480) 619-4098
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10761
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP10761
AZ NURSE PRACTITIONER LICENSE NUMBER
AZ
Enumeration date
11/06/2017
Last updated
06/16/2018
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