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

Mr. Ernest Mall, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1144026998

Mr. Ernest Mall, NP is a Nurse Practitioner in Surprise, Arizona. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

14068 W Hackamore Dr
Surprise, AZ 85387-1928
Phone: (847) 558-9908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 243234 (AZ)

Record details

NPI number1144026998
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedFebruary 21, 2025
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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