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Mallory E Blair, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Columbia, Missouri
NPI 1114664869

Mallory E Blair is a Psychiatric/Mental Health Nurse Practitioner based in Kansas City, MO and is specialized in Psychiatric/Mental Health. Mallory E Blair practices in Columbia, MO and has the professional credentials of PMHNP-BC. The NPI Number for Mallory E Blair is 1114664869 and holds a License No. 2022015302 (Missouri).

The current practice location address for Mallory E Blair is 3 Hospital Dr, Columbia, MO and can be reached out via phone at 573-882-8913 and via fax at 573-884-1070. You can also correspond with Mallory E Blair through the mailing address at PO BOX 843966, KANSAS CITY, MO - 64184-3966 (mailing address contact number: 573-884-3300).

Location: 3 Hospital Dr, Columbia, MO, 64184-3966
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Provider Profile Details
NPI Number
1114664869
Provider Name
Mallory E Blair
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3 Hospital Dr, Columbia, MO, 64184-3966
Phone Number
573-882-8913
Fax Number
573-884-1070
Provider Enumeration Date
05/15/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420110976 05 MO
institution
Provider Business Practice Location Address Details
Address
3 Hospital Dr
City
State
Zip
65201-0001
Phone Number
573-882-8913
Fax Number
573-884-1070
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Provider Business Mailing Address Details
Address
Po Box 843966
City
State
Zip
64184-3966
Phone Number
573-884-3300
Fax Number
573-884-0943
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2022015302 (Missouri)
Definition
Definition to come...
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