Active NPIIndividual provider

Alexis W Malcom, NP

Nurse Practitioner in Lowell, Massachusetts

NPI Number1376830281
Practice location
45 Palmer St, Lowell, MA 01852-1834
Fax
—
Last updated
September 18, 2025

Alexis Whittaker Malcom is a Nurse Practitioner based in Lowell, MA. Alexis Whittaker Malcom practices in Lowell, MA and has the professional credentials of NP. The NPI Number for Alexis Whittaker Malcom is 1376830281 and holds a License No. RN2262711 (MA). The current practice location address for Alexis Whittaker Malcom is 45 Palmer St, Lowell, MA 01852-1834 and can be reached out via phone at 978-970-1607.

Provider Profile Details

NPI Number
1376830281
Provider Name
Alexis Whittaker Malcom
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
45 Palmer St, Lowell, MA 01852-1834
Phone Number
978-970-1607
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2011
Last Update Date
September 18, 2025
Certification Date
September 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Palmer St
Lowell, MA 01852-1834
City
Lowell
Zip
01852-1834
Phone Number
978-970-1607
Lowell, MA 01852Get directions →

Provider Business Mailing Address Details

Address
87 Paine Mountain Dr
Northfield, VT 05663-5791
City
Northfield
State
VT
Zip
05663-5791
Phone Number
781-413-4985

License Information

License Number (1)
RN2262711
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
101-0134327
License State (2)
VT
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexis W Malcom, NP?

The NPI number of Alexis W Malcom, NP is 1376830281. It was assigned on June 30, 2011 and is currently active in the NPPES registry.

What is the specialty of Alexis W Malcom, NP?

Alexis W Malcom, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2262711.

Where does Alexis W Malcom, NP practice?

The practice location is 45 Palmer St, Lowell, MA 01852-1834. The office can be reached at 978-970-1607 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376830281 directly on the NPPES registry website.

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