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

Katina Mallory

Individual provider Registered Nurse · NPI 1215582663

Katina Mallory is a Registered Nurse in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

621 Russell Dr
Daytona Beach, FL 32114-5141
Phone: (386) 871-7368
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN9180804 (FL)

Record details

NPI number1215582663
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2019
Last updated in NPPESAugust 2, 2019
Mailing address621 Russell Dr, Daytona Beach, FL 32114-5141

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