Individual
MALLORY O'BRIEN TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8585 PICARDY AVE STE 318, BATON ROUGE, LA 70809-3749
(225) 333-3800
Mailing address
18568 MAGNOLIA EST, PRAIRIEVILLE, LA 70769-3215
(337) 577-8150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201698
LA
363LF0000X
Family Nurse Practitioner
Primary
201698
LA
Other
Enumeration date
08/18/2022
Last updated
01/10/2023
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