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

Mallory Jacob Walsh

Individual provider Urgent Care Clinic/Center · NPI 1780151001

Mallory Jacob Walsh is an Urgent Care Clinic/Center in Pembroke, New Hampshire. Practices as a sole proprietor. Licensed in New Hampshire.

Licensed in
NH
In the registry since
2018
Specialties on file
3

Practice location Address checks out

100 Main St Apt 205
Pembroke, NH 03275-1241
Phone: (802) 274-8902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1466 (NH)
Urgent Care Clinic/Center Taxonomy 261QU0200X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780151001
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 24, 2018
Last updated in NPPESApril 18, 2019
Mailing address111 New Hampshire Ave Ste 2, Portsmouth, NH 03801-2864