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

Mallory L Bohling, RN

Individual provider Registered Nurse · NPI 1538416110

Mallory L Bohling, RN is a Registered Nurse in Jefferson, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

835 S Wisconsin Dr
Jefferson, WI 53549-1881
Phone: (920) 573-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 222420-30 (WI)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 315895-31 (WI)

Record details

NPI number1538416110
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedAugust 13, 2012
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020
Mailing address131 W Blackhawk Dr, Fort Atkinson, WI 53538-3007

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