Individual
JOCELYN MALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1801 W TAYLOR ST # 2E, CHICAGO, IL 60612-4795
(312) 996-7413
Mailing address
840 S WOOD ST STE 1340, CHICAGO, IL 60612-4325
(312) 996-5813
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209017144
IL
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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