Jessica Taylor Malcolm, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP10761 Issued in AZ

Practice address

9377 E Bell Rd Ste 143
Scottsdale, AZ 85260-1503

Phone

(480) 619-4097

Fax

(480) 619-4098

NPI assigned

Nov 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1477066991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601503",
            "telephone_number": "480-619-4097",
            "fax_number": "480-619-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9377 E BELL RD STE 143",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601503",
            "telephone_number": "480-619-4097",
            "fax_number": "480-619-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "JESSICA",
        "middle_name": "TAYLOR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "AP10761",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Malak, PSYD
• Shawn Hamilton Malan, M.D.
• Todd K Malan, M.D.
• Annamaria C Malati, MD
• Michelle Malave, AGACNP
• Marcel Mann Malek, M.D.
• Mariam Zahrah Malek, N.D.
• Farzam Maleki, B.D.S., M.S.
• Reza Maleknia, M.D.
• Malibu Management LLC

• Family Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.