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

Mallory Jane Bragg, FNP-C

Individual provider Family Nurse Practitioner · NPI 1336801539

Mallory Jane Bragg, FNP-C is a Nurse Practitioner in Fishers, Indiana. Qualified in 2021, 5 years ago. Practices with Indiana Vein Specialists LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

11876 Olio Rd Ste 700
Fishers, IN 46037-9778
Phone: (317) 348-3020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71011676A (IN)

Record details

NPI number1336801539
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 6, 2021
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021
Mailing address11876 Olio Rd Ste 700, Fishers, IN 46037-9778

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Indiana Vein Specialists Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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