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

Mallory Crenshaw

Individual provider Critical Care Pediatric Nurse Practitioner · NPI 1992538623

Mallory Crenshaw is a Nurse Practitioner in Memphis, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2024, 2 years ago. Practices with UT Lebonheur Pediatric Specialists, Inc, a 172-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2024
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Practice location Address checks out

848 Adams Ave
Memphis, TN 38103-2816
Phone: (901) 287-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X · Licence 36925 (TN)

Record details

NPI number1992538623
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Ut Lebonheur Pediatric Specialists, Inc. — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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