Claudette M Mallory in Macclenny - Family

Claudette M Mallory - NPI 1679547442

Claudette M Mallory is a Family in Macclenny, Florida. Claudette M Mallory practices all healthcare services and medical treatments related to Family. The NPI Number for Claudette M Mallory is 1679547442. The last update date is 2023-08-01.

Claudette M Mallory's current location address is 92 W Lowder St, Macclenny, Florida. You can contact this provider via phone number 9042590092 and fax number 9042590094. The mailing address for Claudette M Mallory is 92 W Lowder St, Macclenny, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Claudette M Mallory
Address 92 W Lowder St, Macclenny, Florida
Phone Number 9042590092
Fax Number 9042590094
Sole Proprietor N
Credentials APRN

NPI Number Detail

NPI Number 1679547442
Provider Enumeration Date 2006-02-16
Last Updated Date 2023-08-01

Provider Mailing Address Detail

Address 92 W Lowder St
City Macclenny
State Florida (FL)
Post Code 320632676
Phone Number 9042590092
Fax Number 9042590094

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No APRN3174462
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
770015600 FL --

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FAQs about Claudette M Mallory

What is the unique 10-digit identifier code issued to Claudette M Mallory by the Centers for Medicare & Medicaid Services?

The Claudette M Mallory has been assigned the NPI (National Provider Identifier) 1679547442 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Claudette M Mallory located?

The Claudette M Mallory is located at 92 W Lowder St, Macclenny, FL 320632676.

What is Claudette M Mallory's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Claudette M Mallory is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1679547442 to Claudette M Mallory?

The Claudette M Mallory received its 1679547442 assignment from the Centers for Medicare & Medicaid Services on 2006-02-16.

When was the information regarding Claudette M Mallory, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Claudette M Mallory, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-08-01.

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