Tara Mallory
Tara Mallory is a Licensed Practical Nurse in Roscommon, Michigan. Licensed in Michigan. Registered with an NPI since 2026.
- Licensed in
- MI
- In the registry since
- 2026
Practice location Address checks out
5705 September LnRoscommon, MI 48653-8756
Phone: (989) 325-0576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 4703083153 (MI) |
|---|
Record details
| NPI number | 1982563433 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | January 20, 2026 |
| Last updated in NPPES | January 20, 2026 |
| Certification date | January 20, 2026 |
| Mailing address | 5705 September Ln, Roscommon, MI 48653-8756 |
Other providers in Roscommon
-
Pamela Lynne Disney
217 Newman St, Roscommon, MI 48653-7603 · (989) 390-6580
-
Gordon Eden
305 N 5th St, Roscommon, MI 48653-2508 · (989) 275-8000