Organization
JORDAN MALONE PMHNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN LEIGH MALONE APRN (PSYCHIATRIC NURSE PRACTITIONER)
(314) 766-7290
Entity
Organization
Contact information
Practice address
11477 OLDE CABIN RD STE 210, CREVE COEUR, MO 63141-7129
(314) 997-5208
(314) 997-5368
Mailing address
11477 OLDE CABIN RD STE 210, CREVE COEUR, MO 63141-7129
(314) 997-5208
(314) 997-5368
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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