person
Mallory Lynne Smith, AGACNP-BC
Adult Health Nurse Practitioner in Shenandoah, Texas
NPI 1609334630

Mallory Lynne Smith is an Adult Health Nurse Practitioner based in Houston, TX and is specialized in Adult Health. Mallory Lynne Smith practices in Shenandoah, TX and has the professional credentials of AGACNP-BC. The NPI Number for Mallory Lynne Smith is 1609334630 and holds a License No. 95014580 (Texas).

The current practice location address for Mallory Lynne Smith is 17189 Interstate 45 S Ste 675, Shenandoah, TX and can be reached out via phone at 936-270-3900 and via fax at 936-271-1584.

Location: 17189 Interstate 45 S Ste 675, Shenandoah, TX, 77007-6325
person
Provider Profile Details
NPI Number
1609334630
Provider Name
Mallory Lynne Smith
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Female
Address
17189 Interstate 45 S Ste 675, Shenandoah, TX, 77007-6325
Phone Number
936-270-3900
Fax Number
936-271-1584
Provider Enumeration Date
03/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17189 Interstate 45 S Ste 675
City
State
Zip
77385-3320
Phone Number
936-270-3900
Fax Number
936-271-1584
person
Provider Business Mailing Address Details
Address
17189 Interstate 45 S Ste 675
City
State
Zip
77385-3320
Phone Number
936-270-3900
Fax Number
936-271-1584
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
AP140939 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Critical Care Medicine
Taxonomy
License No.
95014580 (California)
Definition
Definition to come...
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