Individual
MS. JANA M. MALLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
222 S VAN LINGLE MUNGO BLVD, PAGELAND, SC 29728-1950
(843) 675-5000
(843) 675-5003
Mailing address
330 QUARTZ HILL WAY, WAXHAW, NC 28173-8041
(334) 494-0593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-118622
AL
363LF0000X
Family Nurse Practitioner
Primary
28192
SC
363LF0000X
Family Nurse Practitioner
5023986
NC
Other
Enumeration date
10/02/2013
Last updated
02/24/2026
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