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

Kacie Leigh Mallard, LPN

Individual provider Licensed Practical Nurse · NPI 1255211942

Kacie Leigh Mallard, LPN is a Licensed Practical Nurse in Statesboro, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

1404 Mallard Pond Rd
Statesboro, GA 30461-8569
Phone: (912) 531-0721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 079376 (GA)

Record details

NPI number1255211942
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedSeptember 4, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 4, 2025

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