Individual
DR. MALLORY REEDER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4334 E HIGHLAND DR STE A, JONESBORO, AR 72401-6621
(870) 802-0012
Mailing address
5107 KARA DR, JONESBORO, AR 72405-9726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217046
AR
363LP2300X
Primary Care Nurse Practitioner
217046
AR
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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