Mallory Smith
Mallory Smith is a Nurse Practitioner in Lisbon, Ohio. Qualified in 2018, 8 years ago. Practices with Community Action Agency of Columbiana County Inc, a 10-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 8
- Licensed in
- OH
- In the registry since
- 2018
Practice location Address checks out
7880 Lincole PlLisbon, OH 44432-8322
Phone: (330) 424-7221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Women's Health Nurse Practitioner (primary) | Taxonomy 363LW0102X · Licence APRN.CNP.023587 (OH) |
|---|
Record details
| NPI number | 1720561160 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 12, 2018 |
| Last updated in NPPES | September 12, 2018 |
| Mailing address | 954 Adams Ave, Salem, OH 44460-4063 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Community Action Agency Of Columbiana County Inc — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |