Individual provider · Type 1 NPI

Jacqueline A. Malloy, ARNP

Family Nurse Practitioner · Blue Ridge, GA

NPI number 1861445447 Active

Practice location

101 Riverstone Vis
Blue Ridge, GA 30513-6648

Fax (706) 632-3585

Mailing address

804 Waterford Estates Mnr
Canton, GA 30114-9422

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XARNP 9164727 (FL)
Nurse Practitioner 363L00000X80435 (NM)
Nurse Practitioner 363L00000X1159783 (TX)
Family Nurse Practitioner Primary 363LF0000XARNP 103102 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1861445447

Jacqueline A. Malloy, ARNP's National Provider Identifier is 1861445447, issued on May 18, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Blue Ridge, GA. The record was last updated on Oct 4, 2024.