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

Mallory Louise Dehaes

Individual provider Acute Care Nurse Practitioner · NPI 1992569909

Mallory Louise Dehaes is a Nurse Practitioner in Pensacola, Florida. Graduated from University of South Alabama College of Medicine in 2023, 3 years ago. Practices with Pensacola Lung Group, M D 'S, PA, a 30-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Trained at
University of South Alabama College of Medicine
Licensed in
FL
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

123 Baptist Way
Pensacola, FL 32503-2254
Phone: (850) 434-4011
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11028583 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APRN11028583 (FL)

Record details

NPI number1992569909
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 9, 2024
Last updated in NPPESFebruary 9, 2024
Certification dateDecember 26, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Pensacola Lung Group, M.D.'S, P.A. — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pensacola