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

MALLORY WELTER SCELFO, FNP-C

Active Sole Proprietor

Medical Specialty Clinic · JOHNSON CITY, TN

Registration Details

NPI Number
1467215285
Provider Type
Individual
Gender
Female
NPI Issued
Feb 5, 2024 (2.2062117672816 yrs)
Last Updated
Feb 5, 2024
Sole Proprietor
Yes

Practice Information

Address
206 WANDERLUST CT
JOHNSON CITY, TN, 376043248
Browse TN providers · Browse ZIP 37604
Phone
2288607831
Primary Specialty
Medical Specialty Clinic
261QM2500X
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.