Smith, Mallory Lynne

Smith, Mallory Lynne is an individual health care provider with primary practice located at 17189 Interstate 45 S Ste 675 , Shenandoah TX 77385-3320. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Smith, Mallory Lynne can be contacted via phone (936) 270-3900.

Contact Information

Primary practice address
17189 Interstate 45 S Ste 675 Shenandoah TX 77385-3320
Phone: (936) 270-3900
Fax: (936) 271-1584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 95014580 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP140939 Texas

Profile Details

NPI number 1609334630
LBN Legal business name Smith, Mallory Lynne
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2019
Last updated Mar 14th, 2023 - about 2 years 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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