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

Kavithamani Mallan, FNP

Individual provider Family Nurse Practitioner · NPI 1891257903

Kavithamani Mallan, FNP is a Nurse Practitioner in Durham, North Carolina. Qualified in 2018, 8 years ago. Practices with Centerwell Senior Primary Care Nc Jv PC, a 31-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3500 N Roxboro St Ste 1B
Durham, NC 27704-2985
Phone: (919) 578-3974
Fax: (877) 723-2970
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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 5011822 (NC)

Record details

NPI number1891257903
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 5, 2019
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Centerwell Senior Primary Care Nc Jv Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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