Individual
MALLORY DARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
871 LOWCOUNTRY BLVD, MOUNT PLEASANT, SC 29464-3066
(843) 501-1099
Mailing address
871 LOWCOUNTRY BLVD, MOUNT PLEASANT, SC 29464-3066
(843) 501-1099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
243909
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
25795
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
09/18/2018
Last updated
02/25/2022
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