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NPI Code Detail

MEDICARE: JENNIFER LYNN CHATMAN MALLEY NP

MEDICARE:   JENNIFER LYNN CHATMAN MALLEY  NP
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
1363LF0000XFamily Nurse PractitionerR862452MS

General Provider Information

NPI Number : 1023314416
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN CHATMAN MALLEY NP
Provider Business Mailing Address
First Line : 250 BEAUVOIR RD
Second Line :
City : BILOXI
State : MS
Zip : 39531-4026
Country : US
Telephone Number : 228-388-2994
Fax Number :
Provider Business Practice Location Address
First Line : 250 BEAUVOIR RD
Second Line :
City : BILOXI
State : MS
Zip : 39531-4026
Country : US
Telephone Number : 228-388-2994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2011
Last Update Date : 01/31/2024

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Directions to “ JENNIFER LYNN CHATMAN MALLEY NP” Practice Location

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