Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Ann Mallard, DNP/FNP

Individual provider Registered Nurse · NPI 1639971823

Alyssa Ann Mallard, DNP/FNP is a Nurse Practitioner in Conover, North Carolina. Qualified in 2025, 1 year ago. Practices with Wake Forest Health Network LLC, a 271-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
Specialties on file
3

Practice location Address checks out

305 1st St E
Conover, NC 28613-1715
Phone: (828) 464-3821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5022454 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 337035 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5022454 (NC)

Record details

NPI number1639971823
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP/FNP
Sole proprietorNo
NPI enumeratedMarch 26, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Wake Forest Health Network Llc — 271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Conover