Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mallory Jane Sheridan, PA-C

Individual provider Physician Assistant · NPI 1245800937

Mrs. Mallory Jane Sheridan, PA-C is a Physician Assistant in Livonia, Michigan. Graduated from Wayne State University School of Medicine in 2021, 5 years ago. Practices with Advanced Dermatology of Michigan PC, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

16826 Newburgh Rd
Livonia, MI 48154-1600
Phone: (734) 464-8400
Fax: (734) 464-9515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 416 S Creyts Rd, Lansing, MI 48917-8290 — (517) 886-0333

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010628 (MI)

Record details

NPI number1245800937
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 25, 2021
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Advanced Dermatology Of Michigan Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Livonia