Individual
MALLORY MICHELLE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
2944 BRECKENRIDGE LN, LOUISVILLE, KY 40220-1409
(502) 995-5525
Mailing address
5721 HARMONY WOODS, MEMPHIS, IN 47143-9283
(317) 507-8696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4010885
KY
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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