Jennifer L Malley (NPI# 1023314416, PAC ID# 5193999399) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023314416 |
| PAC ID by PECOS | 5193999399 |
| Professional Enrollment ID | I20120709000699 |
| Full Name | Jennifer L Malley |
| Organization Legal Name | E.M. DIMITRI D.O., PMC |
| Address |
624 Hwy 90 Bay Saint Louis MS 39520-2715 |
| Phone Number | 2284675644 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284722059 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250162 | HANCOCK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 624 Hwy 90, Bay Saint Louis, MS 39520-2715 | 2284675644 | E.M. DIMITRI D.O., PMC |
| Organization Legal Name | E.M. DIMITRI D.O., PMC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charisse Lashaune Johnson | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 145 Briant St, Gretna, LA 70056-7136 |
| Megan Louque Stamps | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 1201 S Purpera Ave, 601 Dimitri Dermatology, Gonzales, LA 70737-4279 |
| Delana Lynn Mooney | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 431 -433 Security Square Blvd, Ms Skin Clinicandpsoriascentergulfpo, Gulfport, MS 39507-1922 |
| Thuy Thi Tran | Physician Assistant | E.m. Dimitri D.o., Pmc | 613 Williams Blvd, Dimit, Kenner, LA 70062-7635 |
| Joel Edmund Perdomo | General Practice | E.m. Dimitri D.o., Pmc | 2104 Gause Blvd W, Suite A, Slidell, LA 70460-4130 |
| Clay J Hubble Iii | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 5646 Read Blvd, Suite 230, New Orleans, LA 70127-3106 |
| Elizabeth M Dimitri | Dermatology | E.m. Dimitri D.o., Pmc | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3066 |
| Sara J Gaspard | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 2104 Gause Blvd W, Suite A, Slidell, LA 70460-4130 |
| Sally A Benyahia | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3066 |
| Mehdi Mosadegh | Dermatology | E.m. Dimitri D.o., Pmc | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3066 |
| Street Address |
624 HWY 90 |
| City | BAY SAINT LOUIS |
| State | MS |
| Zip | 39520-2715 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myron Tassin | Certified Registered Nurse Anesthetist | Hancock Medical Center | 149 Drinkwater Blvd, Bay St Louis, MS 39520 |
| Bertin C Chevis | Family Medicine | 849 Hwy 90, Bay Saint Louis, MS 39520-1600 | |
| Matthew T Capo | Physical Therapy | 833 Hwy 90, Suite 2, Bay St Louis, MS 39520-1601 | |
| Dimitri A Yanez | Obstetrics/gynecology | Hancock Womens Center Pa | 1009 Benigno Ln, Bay Saint Louis, MS 39520-1602 |
| James C Crittenden | Internal Medicine | 1001 Benigno Ln, Bay Saint Louis, MS 39520-1602 | |
| Stacey Kreher | Nurse Practitioner | Hancock Womens Center Pa | 1009 Benigno Ln, Bay Saint Louis, MS 39520-1602 |
| Leanne L Murray | Nurse Practitioner | Hancock Womens Center Pa | 1009 Benigno Ln, Bay Saint Louis, MS 39520-1602 |
| Noel Marie Duplantier | Obstetrics/gynecology | Hancock Womens Center Pa | 1009 Benigno Ln, Bay Saint Louis, MS 39520-1602 |
| Luella Williams | Nurse Practitioner | Coastal Family Health Center Inc | 109 Hospital Dr, Bay Saint Louis, MS 39520-1604 |
| Abigail M Lafleur | Nurse Practitioner | Coastal Family Health Center Inc | 109 Hospital Dr, Bay Saint Louis, MS 39520-1604 |
| Find all physicians in zip 39520 | |||
| City | BAY SAINT LOUIS |
| Zip Code | 39520 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BAY SAINT LOUIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer L Malley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.