Individual provider · Type 1 NPI

Josselynn Elizabeth Mallard, PA-C

Medical Physician Assistant · Waycross, GA

NPI number 1053286146 Active

Practice location

1706 Alice St
Waycross, GA 31501-5216

Call (912) 285-1140 Map

Fax (912) 285-1125

Mailing address

PO Box 749495
Atlanta, GA 30374-9495

Other practice locations

  • 865 S 1st St, Jesup, GA 31545-0210 · (912) 427-6811

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1053286146

Josselynn Elizabeth Mallard, PA-C's National Provider Identifier is 1053286146, issued on Oct 8, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waycross, GA. The record was last updated on Mar 4, 2026.