person
Mallory Fort, PNP
Pediatric Nurse Practitioner in Columbia, Tennessee
NPI 1659707057

Mallory Fort is a Pediatric Nurse Practitioner based in Columbia, TN and is specialized in Pediatrics. Mallory Fort practices in Columbia, TN and has the professional credentials of PNP. The NPI Number for Mallory Fort is 1659707057 and holds a License No. APN17959 (Tennessee).

The current practice location address for Mallory Fort is 1600 Nashville Hwy, Columbia, TN and can be reached out via phone at 931-388-8965 and via fax at 931-388-0815. You can also correspond with Mallory Fort through the mailing address at 1600 NASHVILLE HWY, COLUMBIA, TN - 38401-1004 (mailing address contact number: 931-388-8965).

Location: 1600 Nashville Hwy, Columbia, TN, 38401-1004
person
Provider Profile Details
NPI Number
1659707057
Provider Name
Mallory Fort
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
1600 Nashville Hwy, Columbia, TN, 38401-1004
Phone Number
931-388-8965
Fax Number
931-388-0815
Provider Enumeration Date
09/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1600 Nashville Hwy
City
State
Zip
38401-1004
Phone Number
931-388-8965
Fax Number
931-388-0815
person
Provider Business Mailing Address Details
Address
1600 Nashville Hwy
City
State
Zip
38401-1004
Phone Number
931-388-8965
Fax Number
931-388-0815
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
APN17959 (Tennessee)
Definition
Definition to come...
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