Mallicoat, Olga

Mallicoat, Olga is an sole proprietor health care provider with primary practice located at 1082 Shadow Wood Ln , Morristown TN 37814-8010. 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. Mallicoat, Olga can be contacted via phone (423) 312-0864.

Contact Information

Primary practice address
1082 Shadow Wood Ln Morristown TN 37814-8010
Phone: (423) 312-0864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 23052 Tennessee

Profile Details

NPI number 1821514738
LBN Legal business name Mallicoat, Olga
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2017
Last updated Jun 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821514738 NPPES
Tennessee Other 23052 APRN LICENSE NUMBER

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