Individual
MALLORY GORE LIVENGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
3800 SAINT MARY RD STE 303, VALPARAISO, IN 46383-3986
(219) 286-3832
(219) 703-6935
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28236571A
IN
Other
Enumeration date
07/03/2026
Last updated
07/16/2026
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