National Provider Identifier
Jessica Malcom, LPN
Jessica Malcom, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Williamsville, NY and a listed phone number of (716) 276-2123.
Profile Overview
- NPI
- 1447585138
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 14, 2009
- Last Updated
- October 14, 2009
Practice Location
- 2250 Wehrle Dr
- Suite 1
- Williamsville, NY 14221-7034
Phone: (716) 276-2123
Mailing Address
- 52 Main St
- Upper
- Tonawanda, NY 14150-2132
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1447585138
- Entity Type
- Individual
- Last Name
- Malcom
- First Name
- Jessica
- Credential
- LPN
- Mailing Street Address
- 52 Main St
- Mailing Address Line 2
- Upper
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-2132
- Mailing Country
- US
- Mailing Phone
- (712) 269-8063
- Practice Street Address
- 2250 Wehrle Dr
- Practice Address Line 2
- Suite 1
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7034
- Practice Country
- US
- Practice Phone
- (716) 276-2123
- Practice Fax
- (716) 276-2129
- Enumeration Date
- October 14, 2009
- Last Updated
- October 14, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)