Ceola Mallory - Detroit, MI

Ceola Mallory

Licensed Practical Nurse in Detroit, Michigan

NPI 1952861833

Ceola Mallory is a Licensed Practical Nurse based in Detroit, MI. Ceola Mallory practices in Detroit, MI. The NPI Number for Ceola Mallory is 1952861833 and holds a License No. 4703076321 (Michigan).

The current practice location address for Ceola Mallory is 5519 Nottingham Rd, Detroit, MI and can be reached out via phone at 313-285-0842.

Location: 5519 Nottingham Rd, Detroit, MI, 48224-3134

NPI Number

1952861833

Provider Name

Ceola Mallory

Credential

Provider Entity Type

Individual

Gender

Female

Address

5519 Nottingham Rd, Detroit, MI, 48224-3134

Phone Number

313-285-0842

Fax Number

Provider Enumeration Date

03/25/2019

Last Update Date

03/10/2024

Address

5519 Nottingham Rd

City

Detroit

State

Michigan

Zip

48224-3134

Phone Number

313-285-0842

Fax Number

Address

5519 Nottingham Rd

City

Detroit

State

Michigan

Zip

48224-3134

Phone Number

313-285-0842

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

4703076321 (Michigan)

Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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