Fort, Mallory

Fort, Mallory is an individual health care provider with primary practice located at 1600 Nashville Hwy , Columbia TN 38401-1004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fort, Mallory can be contacted via phone (931) 388-8965.

Contact Information

Primary practice address
1600 Nashville Hwy Columbia TN 38401-1004
Phone: (931) 388-8965
Fax: (931) 388-0815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN17959 Tennessee

Profile Details

NPI number 1659707057
LBN Legal business name Fort, Mallory
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2013
Last updated Sep 18th, 2013 - about 12 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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