Individual provider · Type 1 NPI

Mallory E. Blair, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Columbia, MO

NPI number 1114664869 Active

Practice location

3 Hospital Dr
Columbia, MO 65201-0001

Fax (573) 884-1070

Mailing address

PO Box 843966
Kansas City, MO 64184-3966

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2022015302 (MO)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1114664869

Mallory E. Blair, PMHNP-BC's National Provider Identifier is 1114664869, issued on May 15, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Columbia, MO. The record was last updated on Sep 1, 2022.