Individual
MALLORY HARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
201 DOCTORS DR, DOTHAN, AL 36301-2949
(334) 794-6611
Mailing address
739 SANDBED RD, NEWTON, AL 36352-7936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-155437
AL
Other
Enumeration date
01/24/2023
Last updated
07/07/2025
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