MALLORY JOHNSON, RN

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1972110815

Practice Address

449 KELSO TRL
Corbin, KY 40701

Phone: (606) 273-6971

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X Yes 3015641 (KY)
Registered Nurse 163W00000X No 1129317 (KY)

Frequently Asked Questions

NPI 1972110815 is the National Provider Identifier for MALLORY JOHNSON, RN, a Nurse Anesthetist, Certified Registered provider located in Corbin, KY. This NPI was enumerated on September 24, 2020.
MALLORY JOHNSON, RN practices at 449 KELSO TRL, Corbin, KY 40701.

Quick Facts

NPI
1972110815
Type
Individual
Enumerated
Sep 24, 2020
Last Updated
Jan 15, 2021

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