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

MS. Mallory Driscoll, PA-C

Individual provider Physician Assistant · NPI 1972012482

MS. Mallory Driscoll, PA-C is a Physician Assistant in Eagle River, Alaska. Licensed in Alaska, Minnesota, North Dakota and Utah. Registered with an NPI since 2017.

Licensed in
AK, MN, ND, UT
In the registry since
2017
Specialties on file
4
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

17025 Snowmobile Ln
Eagle River, AK 99577-7044
Phone: (907) 696-7466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 153300 (AK)
Physician Assistant Taxonomy 363A00000X · Licence 13162 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 11674343-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PAC0801 (ND)

Record details

NPI number1972012482
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023

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