Individual
MS. JENNIFER R MALOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Mailing address
40 MAGNOLIA AVE, SHALIMAR, FL 32579-1110
(850) 259-0980
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN9362106
FL
363L00000X
Nurse Practitioner
Primary
APRN11023716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11023716
FL BOARD OF NURSING
FL
Enumeration date
11/07/2022
Last updated
12/28/2022
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