Individual
JESSICA MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20511 E TRINITY PL, BLUE SPRINGS, MO 64015-9501
(816) 622-2900
Mailing address
7200 W 72ND ST, OVERLAND PARK, KS 66204-1937
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
53-80900-102
KS
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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