Malloy, Jennifer

Malloy, Jennifer is an individual health care provider with primary practice located at 3322 N Broad St , Philadelphia PA 19140-5185. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Malloy, Jennifer can be contacted via phone (215) 707-1800.

Contact Information

Primary practice address
3322 N Broad St Philadelphia PA 19140-5185
Phone: (215) 707-1800
Fax: (215) 707-3644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW015068 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP017051 Pennsylvania

Profile Details

NPI number 1972620227
LBN Legal business name Malloy, Jennifer
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Mar 28th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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