Individual
JESSICA ANNELLE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1062 FORSYTH ST, MACON, GA 31201-8637
(478) 741-1208
(478) 741-1557
Mailing address
462 SWEETWATER LN, GRAY, GA 31032-6376
(478) 390-5029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN255037
GA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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