Individual
MALLORY ANN BROCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4441 CAPITAL AVE SW, BATTLE CREEK, MI 49015-9359
(269) 788-6888
Mailing address
3525 HARDING RD, JACKSON, MI 49203-5122
(517) 414-8066
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704334277
MI
Other
Enumeration date
11/20/2024
Last updated
01/07/2025
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