Individual provider · Type 1 NPI

Jessica Malcom, LPN

Licensed Practical Nurse · Williamsville, NY

NPI number 1447585138 Active

Practice location

2250 Wehrle Dr, Suite 1
Williamsville, NY 14221-7034

Call (716) 276-2123 Map

Fax (716) 276-2129

Mailing address

52 Main St, Upper
Tonawanda, NY 14150-2132

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	298583 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1447585138

Jessica Malcom, LPN's National Provider Identifier is 1447585138, issued on Oct 14, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Williamsville, NY. The record was last updated on Oct 14, 2009.