MEDICARE: ELANA MALKIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN-NP332713	GA

General Provider Information

NPI Number	:	1780523837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELANA MALKIN

Provider Business Mailing Address
First Line	:	6515 POPLAR AVE STE 101
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-4878
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6515 POPLAR AVE STE 101
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38119-4878
Country	:	US
Telephone Number	:	404-884-8731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “ ELANA MALKIN ” Practice Location

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