Darnell, Mallory

Darnell, Mallory is an individual health care provider with primary practice located at 871 Lowcountry Blvd , Mount Pleasant SC 29464-3066. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Darnell, Mallory can be contacted via phone (843) 501-1099.

Contact Information

Primary practice address
871 Lowcountry Blvd Mount Pleasant SC 29464-3066
Phone: (843) 501-1099
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 243909 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 25795 South Carolina

Profile Details

NPI number 1326522194
LBN Legal business name Darnell, Mallory
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2018
Last updated Feb 25th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326522194 NPPES
South Carolina MEDICAID 1760596480

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