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

Edna Elaine Mallory, NP-C

Individual provider Family Nurse Practitioner · NPI 1255682381

Edna Elaine Mallory, NP-C is a Family Nurse Practitioner in Lagrange, Georgia. Licensed in Alabama and Georgia. Registered with an NPI since 2012.

Licensed in
AL, GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

2169 W Point Rd
Lagrange, GA 30240-4002
Phone: (706) 902-9516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN185828 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1-108083 (AL)

Record details

NPI number1255682381
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2012
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

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