Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA MALLORY
ActiveTARA MALLORY is a Licensed Practical Nurse healthcare provider located in ROSCOMMON, Michigan. NPI 1982563433 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · ROSCOMMON, MI
Registration Details
- NPI Number
- 1982563433
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Jan 20, 2026 (0.56603494852638 yrs)
- Last Updated
- Jan 20, 2026
- License
-
4703083153 (MI)
Practice Information
- Address
-
5705 SEPTEMBER LNROSCOMMON, MI, 486538756Browse MI providers · Browse ZIP 48653
- Phone
- 9893250576
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in ROSCOMMON, MI
| Name | Credential | NPI |
|---|---|---|
| PAMELA LYNNE DISNEY | — | 1750774311 |
| GORDON EDEN | — | 1891216339 |
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.