Individual
MALLORY WOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
617 GAULT AVE N, FORT PAYNE, AL 35967-2531
(256) 979-1633
Mailing address
4451 RODEN DR NE, FORT PAYNE, AL 35967-7807
(256) 996-7638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-182761
AL
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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