Individual
MALORY BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
765 FLORENCE RD, SAVANNAH, TN 38372
(731) 925-2300
Mailing address
PO BOX 655, SAVANNAH, TN 38372-0655
(731) 925-2300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
185481
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24631
TN
Other
Enumeration date
06/22/2018
Last updated
01/27/2021
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