EDNA MALLORY, NP-C
Nurse Practitioner - Family
Active
Individual
NPI: 1255682381
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | 1-108083 (AL) |
Frequently Asked Questions
NPI 1255682381 is the National Provider Identifier for EDNA MALLORY, NP-C, a Nurse Practitioner - Family provider located in Lagrange, GA. This NPI was enumerated on September 28, 2012.
EDNA MALLORY, NP-C practices at 2169 W POINT RD, Lagrange, GA 30240.
Quick Facts
- NPI
- 1255682381
- Type
- Individual
- Enumerated
- Sep 28, 2012
- Last Updated
- Oct 23, 2025
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