Individual provider · Type 1 NPI
Mallory Smith, NP
Primary Care Nurse Practitioner · Shaw Afb, SC
NPI number
1003533357
Active
Practice location
420 Polifka Dr
Shaw Afb, SC 29152-5100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 26148 (SC) |
Primary Care Nurse Practitioner: Definition to come...
33 other providers at this address
- Adeoluwa Emmanuel Adewuyi, MDInternal Medicine Physician Shaw Afb, SC NPI 1437852100
- Alayna Renee Jones, DMDDentist Shaw Afb, SC NPI 1659128429
- Ana N. Chavis, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Shaw Afb, SC NPI 1083123020
- Andrew Jeffery Conner, DOFamily Medicine Physician Shaw Afb, SC NPI 1669162046
- Christopher SchreinerPediatrics Physician Shaw Afb, SC NPI 1962104075
- Crystal Marie Boyle, LCSWClinical Social Worker Shaw Afb, SC NPI 1902282338
- Desmond Jacob MarroquinIndependent Duty Medical Technicians Shaw Afb, SC NPI 1003585399
- Dominique RaulsFamily Nurse Practitioner Shaw Afb, SC NPI 1861265050
- Ericniesha Taylor, LCSW-C, LICSWClinical Social Worker Shaw Afb, SC NPI 1023557170
- Erin L. Gunter, PharmDPharmacist Shaw Afb, SC NPI 1326472531
- Hanlon Ignatius Maivelett, PharmDPharmacist Shaw Afb, SC NPI 1568005452
- Jeffrey D. Geddes, PhDClinical Psychologist Shaw Afb, SC NPI 1457549164
Other primary care nurse practitioner providers in Shaw Afb
About NPI 1003533357
Mallory Smith, NP's National Provider Identifier is 1003533357, issued on Oct 26, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Shaw Afb, SC. The record was last updated on Feb 23, 2026.