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Individual

MALLORY WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-3645
Mailing address
5378 MAGNOLIA SOUTH DR, TRUSSVILLE, AL 35173-6342

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
228725
LA
363LN0005X
Critical Care Neonatal Nurse Practitioner
1-143661
AL

Other

Enumeration date
01/18/2018
Last updated
03/27/2023
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