1. Home
  2. Directory
  3. Mississippi
  4. Pascagoula
  5. Nurse Practitioner
  6. NPI Profile

LACONDRA MALCOM PMHNP
NPI 1487012043
Nurse Practitioner - Psychiatric/Mental Health in Pascagoula, MS

Active since February 10, 2016
4502 VEGA ST, PASCAGOULA, MS 39581(228) 696-9224 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2017, Feb 10, 2016 (2 updates tracked since 2016).

About Lacondra Malcom Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACONDRA MALCOM PMHNP (NPI 1487012043) is an individual psychiatric/mental health provider in Pascagoula, Mississippi, licensed in Mississippi (R869844) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1487012043
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLACONDRA MALCOMCredential: PMHNP
Location Address4502 VEGA STPascagoula, MS 39581-5305
Mailing Address4502 Lt Eugene J Majure DrPascagoula, MS 39581-5305 · (228) 696-9224
Phone(228) 696-9224
Sole ProprietorNo
Enumeration DateFebruary 10, 2016
Last NPPES UpdateApril 27, 20202 updates tracked since enumeration
NPPES CertifiedApril 27, 2020
✔ NPI 1487012043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · R869844
4502 VEGA ST, Pascagoula, MS 39581
Open in Google Maps ↗

Other Identifiers 1

Medicaid04307541MS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREMY WAYNE OWENS M.D.
Psychiatry & Neurology (Psychiatry)
4502 VEGA ST
PASCAGOULA, MS 39581
Jackson County (228) 696-9224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacondra Malcom's NPI number?

The NPI number for Lacondra Malcom is 1487012043. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Where is Lacondra Malcom located?

Lacondra Malcom practices at 4502 Vega St, Pascagoula, MS 39581. The listed phone number is (228) 696-9224.

What is Lacondra Malcom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lacondra Malcom was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.