Individual
MARY MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6160 KEMPSVILLE CIR STE 325A, NORFOLK, VA 23502-3933
(757) 354-2885
Mailing address
900 MOUNTAIN LAUREL TRL, VIRGINIA BEACH, VA 23454-3552
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024174999
VA
363LG0600X
Gerontology Nurse Practitioner
0024174999
VA
Other
Enumeration date
09/22/2017
Last updated
05/15/2026
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