Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MALLORY JANE SHERIDAN, PA-C
Active Sole ProprietorMRS. MALLORY JANE SHERIDAN, PA-C is a Physician Assistant healthcare provider located in LIVONIA, Michigan. NPI 1245800937 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LIVONIA, MI
Registration Details
- NPI Number
- 1245800937
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2021 (5.1214172665898 yrs)
- Last Updated
- May 28, 2025
- License
-
5601010628 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16826 NEWBURGH RDLIVONIA, MI, 481541600Browse MI providers · Browse ZIP 48154
- Phone
- 7344648400
- Fax
- 7344649515
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LIVONIA, MI
| Name | Credential | NPI |
|---|---|---|
| VARALAKSHMI VARRE | PA | 1891773891 |
| JOANN VAN OAST | P.A. | 1134109531 |
| BARBARA BERGESKI | P.A. | 1295705382 |
| DANIELLE FRIEDRICH | P.A. | 1053381491 |
| STEFANIE DICEA | P.A.C. | 1952378887 |
| PAMELA H STEINBERG | PAC | 1508820150 |
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.