Individual
DR. MALLORY WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, CCRN
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-5437
Mailing address
1287 ISLAND HARBOR DR, MEMPHIS, TN 38103-8998
(662) 473-7347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
220086
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
29568
TN
Other
Enumeration date
06/22/2020
Last updated
10/25/2021
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