Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY BROOKE MOODY, PA
ActiveMALLORY BROOKE MOODY, PA is a Physician Assistant healthcare provider located in MILLINGTON, Tennessee. NPI 1710612718 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MILLINGTON, TN
Registration Details
- NPI Number
- 1710612718
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2022 (4.060053642487 yrs)
- Last Updated
- Jul 23, 2024
Practice Information
- Address
-
4772 NAVY RD STE AMILLINGTON, TN, 380531957Browse TN providers · Browse ZIP 38053
- Phone
- 9018730930
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MILLINGTON, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. AMELIA ROSS OLSON | PA-C | 1720350135 |
| WHITNEY BEALL | PA | 1033534847 |
| MRS. SHEKETA LANE | PA-C | 1891205746 |
| MARIAM AYYEH | — | 1457818452 |
| MR. JOSHUA STEPHEN WHITE | PA | 1689278269 |
| JUSTIN D RUDD | PA-C | 1811620420 |
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.