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Individual
MALLORY LYNNE SMITH
Active
Individual
MALLORY LYNNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4018626
KY
363LA2200X
Adult Health Nurse Practitioner
AP140939
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
95014580
CA
Other
Enumeration date
03/08/2019
Last updated
07/28/2026
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