MALLORY WISDOM, FNP-C
Nurse Practitioner - Family
Active
Individual
NPI: 1396551412
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 216033 (AR) |
Frequently Asked Questions
NPI 1396551412 is the National Provider Identifier for MALLORY WISDOM, FNP-C, a Nurse Practitioner - Family provider located in Rogers, AR. This NPI was enumerated on December 4, 2024.
MALLORY WISDOM, FNP-C practices at 1233 W POPLAR ST, Rogers, AR 72756.
Quick Facts
- NPI
- 1396551412
- Type
- Individual
- Enumerated
- Dec 4, 2024
- Last Updated
- Jul 30, 2025
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