Individual provider · Type 1 NPI

Mallory Devereaux, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Grand Forks, ND

NPI number 1316738842 Active

Practice location

3674 S Washington St
Grand Forks, ND 58201-5766

Fax (701) 732-2501

Mailing address

PO Box 5210
Grand Forks, ND 58206-5210

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN9450750 (FL)

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

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About NPI 1316738842

Mallory Devereaux, PMHNP-BC's National Provider Identifier is 1316738842, issued on May 14, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Forks, ND. The record was last updated on Jan 22, 2026.