Jordan Leigh Malone, APRN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Saint Louis, MO. Individual provider (NPI-1).
NPI number1043661184
StatusActive
Last updated in NPPESJul 28, 2021
Details
- NPI
- 1043661184
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jordan Leigh Malone
- Credential
- APRN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2016
- Certification date
- Jul 9, 2021
- Last updated
- Jul 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 2021024545 | MO | Yes |
| 163W00000X | Registered Nurse | 2016022515 | MO |
Other names
- Jordan Blankmann (Former Name)
Practice location
11477 Olde Cabin Rd Ste 210Saint Louis, MO 63141-7129
Phone 314-649-7867
Mailing address
11477 Olde Cabin Rd Ste 210Saint Louis, MO 63141-7129
Phone 314-649-7867
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