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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLORY POWELL, CPNP-PC

Active Sole Proprietor

MALLORY POWELL, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in LIBERTY HILL, Texas. NPI 1417787631 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · LIBERTY HILL, TX

Registration Details

NPI Number
1417787631
Provider Type
Individual
Gender
Female
NPI Issued
Aug 2, 2024 (2.0462907592323 yrs)
Last Updated
Aug 2, 2024
License
1170341 (TX)
Sole Proprietor
Yes

Practice Information

Address
12661 W STATE HIGHWAY 29
LIBERTY HILL, TX, 786424729
Browse TX providers · Browse ZIP 78642
Phone
5127785111
Fax
5122608103
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X

Other Pediatric Nurse Practitioner Providers in LIBERTY HILL, TX

Name Credential NPI
ASHLEY N DAVIS 1548137896
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.