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

Mallory Harvin, CRNP

Individual provider Nurse Practitioner · NPI 1598471534

Mallory Harvin, CRNP is a Nurse Practitioner in Dothan, Alabama. Qualified in 2022, 4 years ago. Practices with Southern Clinic PC, a 25-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
4
Licensed in
AL
In the registry since
2023
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

201 Doctors Dr
Dothan, AL 36301-2949
Phone: (334) 794-6611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-155437 (AL)

Record details

NPI number1598471534
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 24, 2023
Last updated in NPPESJuly 7, 2025
Certification dateJune 23, 2025
Mailing address739 Sandbed Rd, Newton, AL 36352-7936

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southern Clinic Pc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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