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

Mrs. Stacie M Mallon, FNP-C

Individual provider Family Nurse Practitioner · NPI 1720614456

Mrs. Stacie M Mallon, FNP-C is a Nurse Practitioner in Woodward, Iowa. Qualified in 2016, 10 years ago. Licensed in Iowa.

Years since qualifying
10
Licensed in
IA
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

30865 130th Ct
Woodward, IA 50276-6209
Phone: (515) 490-9739
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 A157443 (IA)

Record details

NPI number1720614456
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 13, 2020
Last updated in NPPESMarch 13, 2020
Certification dateMarch 13, 2020

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare