Individual
MRS. MALLORY ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
711 SANTA FE DR, SEARCY, AR 72143-6964
(501) 279-9393
Mailing address
711 SANTA FE DR, SEARCY, AR 72143-6964
(870) 456-1391
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
220801
AR
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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