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

Mallory Welter Scelfo, FNP-C

Individual provider Medical Specialty Clinic/Center · NPI 1467215285

Mallory Welter Scelfo, FNP-C is a Medical Specialty Clinic/Center in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

206 Wanderlust Ct
Johnson City, TN 37604-3248
Phone: (228) 860-7831
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 228816 (OK)
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1467215285
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedFebruary 5, 2024
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

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