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Individual

JENNIFER D MALEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS,BC

Contact information

Practice address
5350 LAMME RD, MORAINE, OH 45439-3215
(937) 534-4651
(937) 534-4669
Mailing address
3535 PENTAGON BLVD STE 230, BEAVERCREEK, OH 45431-1705
(855) 500-2873
(937) 281-3913

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
NS01078
OH
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN.CNS.01078
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0052850
OH
Enumeration date
05/16/2008
Last updated
03/31/2025
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