Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA R MALLORY, AGNP-C
ActiveAdult Health Nurse Practitioner · SOUTH CHARLESTON, WV
Registration Details
- NPI Number
- 1598223216
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2019 (7.1196142266756 yrs)
- Last Updated
- Jan 7, 2021
- Licenses
-
APRN741400AGPCNP-BC (WV)APRN74140-AGPCNP-BC (WV)
Practice Information
- Address
-
506 CHESTNUT STSOUTH CHARLESTON, WV, 253091204Browse WV providers · Browse ZIP 25309
- Phone
- 3047668558
- Fax
- 3047668561
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
Other Adult Health Nurse Practitioner Providers in SOUTH CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| NOLAN SANKOFF | — | 1295516250 |
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.