Individual provider · Type 1 NPI

Mallory Conner

Psychiatric/Mental Health Nurse Practitioner · Syracuse, NY

NPI number 1265030753 Active

Practice location

739 Irving Ave Ste 340
Syracuse, NY 13210-1605

Mailing address

1001 W Fayette St Ste 400
Syracuse, NY 13204-2866

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2020011129 (NY)

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

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About NPI 1265030753

Mallory Conner's National Provider Identifier is 1265030753, issued on Oct 15, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Syracuse, NY. The record was last updated on Mar 15, 2021.