Individual
JULIE MALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
336 29TH ST STE 101, ASHLAND, KY 41101-1976
(606) 324-4404
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4006595
KY
363LF0000X
Family Nurse Practitioner
5010227
NC
Other
Enumeration date
02/04/2018
Last updated
08/09/2023
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