TARA MALLORY
Licensed Practical Nurse
Active
Individual
NPI: 1982563433
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 4703083153 (MI) |
Frequently Asked Questions
NPI 1982563433 is the National Provider Identifier for TARA MALLORY, a Licensed Practical Nurse provider located in Roscommon, MI. This NPI was enumerated on January 20, 2026.
TARA MALLORY practices at 5705 SEPTEMBER LN, Roscommon, MI 48653.
Quick Facts
- NPI
- 1982563433
- Type
- Individual
- Enumerated
- Jan 20, 2026
- Last Updated
- Jan 20, 2026
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