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

Dr. Johanna T Mallare, MD

Individual provider Pediatrics Physician · NPI 1821055278

Dr. Johanna T Mallare, MD is a Pediatrics Physician in West Memphis, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

108 W Tyler Ave
West Memphis, AR 72301-4221
Phone: (870) 732-1191
Fax: (870) 732-4091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence E2442 (AR)

Record details

NPI number1821055278
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2006
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020

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