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

Mallory Powell, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1417787631

Mallory Powell, CPNP-PC is a Pediatric Nurse Practitioner in Liberty Hill, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

12661 W State Highway 29
Liberty Hill, TX 78642-4729
Phone: (512) 778-5111
Fax: (512) 260-8103
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 1170341 (TX)

Record details

NPI number1417787631
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorYes
NPI enumeratedAugust 2, 2024
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024
Mailing address12661 W State Highway 29, Liberty Hill, TX 78642-4729

Other providers in Liberty Hill