Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Rae Vandevender, FNP-C

Individual provider Family Nurse Practitioner · NPI 1578218616

Mallory Rae Vandevender, FNP-C is a Nurse Practitioner in Flowood, Mississippi. Qualified in 2021, 5 years ago. Practices with River Oaks Management Company LLC, a 34-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2022
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

4290 Lakeland Dr Ste A
Flowood, MS 39232-9571
Phone: (601) 932-0083
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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 905114 (MS)

Record details

NPI number1578218616
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 17, 2022
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022

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 River Oaks Management Company Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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