Jessica Dawn Mallow, BSN, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

74838 Issued in WV

Practice address

909 Gorman Ave
Elkins, WV 26241-4109

Phone

(304) 591-3508

NPI assigned

Apr 27, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1912641689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 DOWELL ST",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413569",
            "telephone_number": "304-591-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262414109",
            "telephone_number": "304-591-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOW",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WV",
            "license": "74838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Malcomb
• Allen W Mallow
• Anthony Mallow
• Brandy Skye Mallow
• Eva Mallow
• Kirsten Mallow
• Sandra Mallow
• Sandy Mallow
• Tammie Mallow
• Mams and Evick, DDS, PLLC

• Home Health Registered Nurse in Elkins, WV
• Providers in Elkins, WV by specialty
• Home Health Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.