Individual
HOLLY J MALONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1129 WESTERN BLVD, JACKSONVILLE, NC 28546-6652
(910) 939-5388
(910) 939-5532
Mailing address
1129 WESTERN BLVD, JACKSONVILLE, NC 28546-6652
(910) 939-5388
(910) 939-5532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
202071
NC
363LF0000X
Family Nurse Practitioner
Primary
F0116179 - CERT.
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831559996
—
NC
05
—
NP3845
—
SC
Enumeration date
03/02/2016
Last updated
11/16/2023
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