Crownover, Mallory Gail

Crownover, Mallory Gail is an individual health care provider with primary practice located at 147 S 52Nd Pl , Springfield OR 97478-6210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Crownover, Mallory Gail can be contacted via phone (541) 746-1166.

Contact Information

Primary practice address
147 S 52Nd Pl Springfield OR 97478-6210
Phone: (541) 746-1166
Fax: (541) 393-1607
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9344290 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201710156NP-PP Oregon

Profile Details

NPI number 1700390721
LBN Legal business name Crownover, Mallory Gail
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2017
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers