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

Nicole M Mallory, PA

Individual provider Medical Physician Assistant · NPI 1578734844

Nicole M Mallory, PA is a Medical Physician Assistant in Warren, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

28800 Ryan Rd
Warren, MI 48092-4272
Phone: (586) 573-6400
Fax: (586) 576-1918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601003330 (MI)

Record details

NPI number1578734844
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 14, 2008
Last updated in NPPESMarch 17, 2008

Other providers in Warren