Individual
MALLORY MCCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4309
Mailing address
405 OLD CANNON WAY, EVANSVILLE, IN 47711-1577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28275258A
IN
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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