Mallory, Mary

Mallory, Mary is an individual health care provider with primary practice located at 6160 Kempsville Cir Ste 325A , Norfolk VA 23502-3933. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mallory, Mary can be contacted via phone (757) 354-2885.

Contact Information

Primary practice address
6160 Kempsville Cir Ste 325A Norfolk VA 23502-3933
Phone: (757) 354-2885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024174999 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 0024174999 Virginia

Profile Details

NPI number 1629587530
LBN Legal business name Mallory, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2017
Last updated May 15th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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