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

Individual provider Nurse Practitioner · NPI 1366391179

Mallory Thurmond, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Graduated from Baylor College of Medicine in 2025, 1 year ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Trained at
Baylor College of Medicine
Licensed in
PA
In the registry since
2026
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

333 Cottman Ave
Philadelphia, PA 19111-2434
Phone: (215) 728-2570
Fax: (215) 728-3639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP034280 (PA)

Record details

NPI number1366391179
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 26, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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