Individual
MALLORY ANNE JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 E 36TH ST STE 200, CHARLOTTE, NC 28206-0052
(704) 801-3400
Mailing address
136 E 36TH ST STE 200, CHARLOTTE, NC 28206-0052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
338626
NC
Other
Enumeration date
02/14/2026
Last updated
02/14/2026
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