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

Mallory Nicole Mullins

Individual provider Primary Care Nurse Practitioner · NPI 1992209324

Mallory Nicole Mullins is a Nurse Practitioner in Lexington, Kentucky. Qualified in 2017, 9 years ago. Practices with 2nd Chance, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
9
Licensed in
KY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

3175 Beaumont Centre Cir
Lexington, KY 40513-1957
Phone: (859) 576-0058
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3012151 (KY)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 3012151 (KY)

Record details

NPI number1992209324
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 21, 2018
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice 2nd Chance — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lexington