Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mallory A Goldman, AGACNP-BC, DNP

Individual provider Acute Care Nurse Practitioner · NPI 1124754320

Dr. Mallory A Goldman, AGACNP-BC, DNP is a Nurse Practitioner in Detroit, Michigan. Qualified in 2022, 4 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704327448 (MI)

Record details

NPI number1124754320
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC , DNP
Sole proprietorYes
NPI enumeratedJuly 29, 2022
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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