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

Mallory Jacober

Individual provider Pediatric Nurse Practitioner · NPI 1871200964

Mallory Jacober is a Pediatric Nurse Practitioner in Troy, Michigan. Works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

44201 Dequindre Rd Ste EC
Troy, MI 48085-1117
Phone: (248) 259-3088
Show map & directions

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

Additional practice locations (2)

  • 2440 Shawood St, Novi, MI 48377-1970 — (248) 535-2454
  • 44199 Dequindre Rd Ste 502, Troy, MI 48085-1128 — (248) 964-5880

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 4704319264 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704319264 (MI)

Record details

NPI number1871200964
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2022
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023
Mailing address44201 Dequindre Rd Ste Ec, Troy, MI 48085-1117

Other providers in Troy