# LISA MALLARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891847869
- **Gender:** F
- **Credential:** APRN, CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 3009349 | KY | Yes |
| 367A00000X | Advanced Practice Midwife | ARNP 2157582 | FL | — |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100503870 | — | KY |