Pendergrass, Mallory Miller

Pendergrass, Mallory Miller is an individual health care provider with primary practice located at 620 Skyline Dr , Jackson TN 38301-3923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Pendergrass, Mallory Miller can be contacted via phone (731) 541-6900.

Contact Information

Primary practice address
620 Skyline Dr Jackson TN 38301-3923
Phone: (731) 541-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 19221 Tennessee

Profile Details

NPI number 1629475348
LBN Legal business name Pendergrass, Mallory Miller
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2014
Last updated Jul 21st, 2025 - about last year

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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