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

Tisha Dawn Mallow

Individual provider Personal Care Attendant · NPI 1003410408

Tisha Dawn Mallow is a Personal Care Attendant in Buckhannon, West Virginia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

8 N Spring St
Buckhannon, WV 26201-2720
Phone: (304) 472-0395
Fax: (304) 471-2488
Show map & directions

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

Specialties & licences

Homemaker (primary) Taxonomy 376J00000X
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1003410408
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2020
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023

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