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

Mrs. Mallory Gibbons, NP

Individual provider Nurse Practitioner · NPI 1083150361

Mrs. Mallory Gibbons, NP is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2016, 10 years ago. Practices with Vascular Care Group LLC, a 25-clinician group. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2017
Specialties on file
2
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

21 Eastern Ave
Worcester, MA 01605-3094
Phone: (508) 556-0223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN2269601 (MA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2269601 (MA)

Record details

NPI number1083150361
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 11, 2017
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Vascular Care Group Llc — 25 clinicians
Accepts Medicare assignment Not indicated

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