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

Mallory Harvey

Individual provider Physician Assistant · NPI 1932960325

Mallory Harvey is a Physician Assistant in Hudson, Florida. Qualified in 2023, 3 years ago. Practices with Knoxville Institute of Dermatology PLLC, a 13-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2024
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Practice location Address checks out

7547 Jacque Rd
Hudson, FL 34667-7163
Phone: (727) 862-8561
Fax: (727) 863-7296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1932960325
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address7547 Jacque Rd, Hudson, FL 34667-7163

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Knoxville Institute Of Dermatology Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Hudson