Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IAN MALL
Active Sole ProprietorIAN MALL is a Home Health Clinical Nurse Specialist healthcare provider located in OOLTEWAH, Tennessee. NPI 1144689456 is currently active in the NPPES registry. Verify at CMS.
Home Health Clinical Nurse Specialist · OOLTEWAH, TN
Registration Details
- NPI Number
- 1144689456
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2016 (10.539026174354 yrs)
- Last Updated
- Feb 15, 2016
- License
-
20836 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9981 FORREST DROOLTEWAH, TN, 373638300Browse TN providers · Browse ZIP 37363
- Phone
- 4233628192
- Primary Specialty
-
Home Health Clinical Nurse Specialist
364SH0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.