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Individual
MRS. SHELLEY H MALLARD
Active
Individual
MRS. SHELLEY H MALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC, FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1129202
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000829474B
—
GA
05
—
000829474C
—
GA
Enumeration date
06/12/2006
Last updated
07/22/2026
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