Mallory J Lackey, FNP
Nurse Practitioner, Family in Fall River, Massachusetts
1093511982- Practice location
- 1620 President Ave, Fall River, MA 02720-7148
- Phone
- 508-672-2403
- Fax
- —
- Last updated
- August 11, 2026
Mallory Jean Lackey is a Nurse Practitioner, Family based in Fall River, MA. Mallory Jean Lackey practices in Fall River, MA and has the professional credentials of FNP. The NPI Number for Mallory Jean Lackey is 1093511982 and holds a License No. RN2352059 (MA). The current practice location address for Mallory Jean Lackey is 1620 President Ave, Fall River, MA 02720-7148 and can be reached out via phone at 508-672-2403.
Provider Profile Details
- NPI Number
- 1093511982
- Provider Name
- Mallory Jean Lackey
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1620 President Ave, Fall River, MA 02720-7148
- Phone Number
- 508-672-2403
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 20, 2025
- Last Update Date
- August 11, 2026
- Certification Date
- August 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1620 President Ave
Fall River, MA 02720-7148 - City
- Fall River
- State
- Massachusetts
- Zip
- 02720-7148
- Phone Number
- 508-672-2403
Provider Business Mailing Address Details
- Address
- 546 South St E
Raynham, MA 02767-1079 - City
- Raynham
- State
- MA
- Zip
- 02767-1079
- Phone Number
- 508-821-5700
License Information
- License Number (1)
- RN2352059
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X · Primary
- License Number (2)
- RN2352059
- License State (2)
- MA
- Taxonomy (2)
- Registered Nurse · 163W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mallory J Lackey, FNP?
The NPI number of Mallory J Lackey, FNP is 1093511982. It was assigned on February 20, 2025 and is currently active in the NPPES registry.
What is the specialty of Mallory J Lackey, FNP?
Mallory J Lackey, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2352059.
Where does Mallory J Lackey, FNP practice?
The practice location is 1620 President Ave, Fall River, MA 02720-7148. The office can be reached at 508-672-2403 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093511982 directly on the NPPES registry website.