Individual provider · NPI-1
Jennifer Elizabeth Maloy
Community Health Worker · Glendale, AZ
NPI number1245119106
StatusActive
Last updated in NPPESAug 29, 2025
Details
- NPI
- 1245119106
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Elizabeth Maloy
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2025
- Certification date
- Aug 29, 2025
- Last updated
- Aug 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
5551 W Calavar RdGlendale, AZ 85306-4605
Phone 623-262-5824
Mailing address
5551 W Calavar RdGlendale, AZ 85306-4605
Phone 623-262-5824 · Fax 623-262-5824
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