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

Mallori Marie Wilson

Individual provider Emergency Medicine Physician · NPI 1174154553

Mallori Marie Wilson is an Emergency Medicine in Agana Heights, Guam. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2020, 6 years ago. Practices with Guam Healthcare Development Incorporated, a 209-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Guam and Virginia.

Years since qualifying
6
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
GU, VA
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

U.s Naval Hospital Guam
Agana Heights, GU 96910
Phone: (671) 344-9340

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 — (757) 953-0669

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101273537 (VA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence M-2478 (GU)

Record details

NPI number1174154553
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2020
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Guam Healthcare Development Incorporated — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Agana Heights