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

Mallory Stockstill, FNP-C

Individual provider Family Nurse Practitioner · NPI 1205443165

Mallory Stockstill, FNP-C is a Nurse Practitioner in Petal, Mississippi. Qualified in 2020, 6 years ago. Practices with Redmed LLC, a 56-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
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

1146 Evelyn Gandy Pkwy
Petal, MS 39465-3947
Phone: (601) 584-4309
Fax: (601) 584-4890
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 904135 (MS)

Record details

NPI number1205443165
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2020
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Redmed Llc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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