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

Mallory Gail Crownover, NP

Individual provider Nurse Practitioner · NPI 1700390721

Mallory Gail Crownover, NP is a Nurse Practitioner in Springfield, Oregon. Graduated from University of Florida College of Medicine in 2016, 10 years ago. Practices with Praxis Health PC, a 176-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Oregon.

Years since qualifying
10
Trained at
University of Florida College of Medicine
Licensed in
FL, OR
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

147 S 52nd Pl
Springfield, OR 97478-6210
Phone: (541) 746-1166
Fax: (541) 393-1607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3377 Riverbend Dr, Springfield, OR 97477-8803 — (541) 222-6200

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 201710156NP-PP (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence ARNP9344290 (FL)

Record details

NPI number1700390721
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 29, 2017
Last updated in NPPESMarch 17, 2018
Mailing address147 S 52nd Pl, Springfield, OR 97478-6210

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Praxis Health Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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