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Mallory Jacober
Nurse Practitioner in Troy, Michigan
NPI 1871200964

Mallory Jacober is a Nurse Practitioner based in Troy, MI. Mallory Jacober practices in Troy, MI. The NPI Number for Mallory Jacober is 1871200964 and holds a License No. 4704319264 (Michigan).

The current practice location address for Mallory Jacober is 44201 Dequindre Rd Ste Ec, Troy, MI and can be reached out via phone at 248-259-3088.

Location: 44201 Dequindre Rd Ste Ec, Troy, MI, 48085-1117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871200964
Provider Name
Mallory Jacober
Credential
Provider Entity Type
Individual
Gender
Female
Address
44201 Dequindre Rd Ste Ec, Troy, MI, 48085-1117
Phone Number
248-259-3088
Fax Number
Provider Enumeration Date
10/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
44201 Dequindre Rd Ste Ec
City
Troy
State
Michigan
Zip
48085-1117
Phone Number
248-259-3088
Fax Number
person
Provider Business Mailing Address Details
Address
44201 Dequindre Rd Ste Ec
City
Troy
State
Michigan
Zip
48085-1117
Phone Number
248-259-3088
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704319264 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
4704319264 (Michigan)
Definition
Definition to come...
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