Lisa R Mallory, AGNP-C
Lisa R Mallory, AGNP-C is a Gerontology Nurse Practitioner in South Charleston, West Virginia. Works from 3 locations. Licensed in West Virginia.
- Licensed in
- WV
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
506 Chestnut StSouth Charleston, WV 25309-1204
Phone: (304) 766-8558
Fax: (304) 766-8561
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 333 Laidley St, Charleston, WV 25301-1614 — (304) 347-6773
- 6a Bank St, Nitro, WV 25143-1708 — (304) 766-8558
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence APRN74140-AGPCNP-BC (WV) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence APRN741400AGPCNP-BC (WV) |
Record details
| NPI number | 1598223216 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-C |
| Sole proprietor | No |
| NPI enumerated | March 12, 2019 |
| Last updated in NPPES | January 7, 2021 |
| Certification date | January 7, 2021 |
Other providers in South Charleston
-
Christine Carole Martin, APRN
4619 Kanawha Ave SW, South Charleston, WV 25309-1319 · (304) 400-4545