Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY JACOBER
ActiveMALLORY JACOBER is a Pediatric Nurse Practitioner healthcare provider located in TROY, Michigan. NPI 1871200964 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · TROY, MI
Registration Details
- NPI Number
- 1871200964
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2022 (3.78925473503 yrs)
- Last Updated
- Feb 3, 2023
- Licenses
-
4704319264 (MI)4704319264 (MI)
Practice Information
- Address
-
44201 DEQUINDRE RD STE ECTROY, MI, 480851117Browse MI providers · Browse ZIP 48085
- Phone
- 2482593088
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in TROY, MI
| Name | Credential | NPI |
|---|---|---|
| ROSANNA MARIE MARROCCO | NP | 1780901439 |
| JENNIFER CATHERINE MULLETT | CPNP | 1578873881 |
| MELISSA ANNE GERLING | CPNP | 1417217159 |
| KIMBERLY KAY BENKNER | PNP | 1104248129 |
| TAMARA LOY | — | 1053739706 |
| MRS. YUSAMAN SHUSHTARI KADRICH | MSN, RN, CPNP-PC | 1750754743 |
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.