Jennifer Lee Malmborg, RN-BSN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN54077 Issued in ME

Practice address

12 Bolduc Ave
Fort Kent, ME 04743-1602

Phone

(207) 834-3971

Fax

(207) 834-3837

NPI assigned

Apr 5, 2018

Last updated

Jul 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1063918241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BOLDUC AVE",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431602",
            "telephone_number": "207-834-3971",
            "fax_number": "207-834-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BOLDUC AVE",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431602",
            "telephone_number": "207-834-3971",
            "fax_number": "207-834-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMBORG",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "RN-BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "ME",
            "license": "RN54077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Registered Nurse in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Case Management Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.