Individual
ASHLEY MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
269 UNION STREET, LYNN, MA 01910-4956
(781) 581-3900
Mailing address
34 TRIDENT AVE APT 4, WINTHROP, MA 02152-1252
(412) 606-8147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2312637
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2312637
MA
Other
Enumeration date
03/28/2017
Last updated
10/25/2022
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