Individual
MALLORY WELTER SCELFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
206 WANDERLUST CT, JOHNSON CITY, TN 37604-3248
(228) 860-7831
Mailing address
206 WANDERLUST CT, JOHNSON CITY, TN 37604-3248
(228) 860-7831
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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