Individual provider · Type 1 NPI

Mallory Mariya Ragan Royall, FNP

Family Nurse Practitioner · Concord, NC

NPI number 1336692607 Active

Practice location

200 Medical Park Dr, Ste 430
Concord, NC 28025-2982

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 8800 N Tryon St, Charlotte, NC 28262-3300 · (704) 863-6241
  • 10628 Park Rd, Charlotte, NC 28210-8407 · (704) 667-7070
  • 2001 Vail Ave, Charlotte, NC 28207-1248 · (704) 304-6070
  • 1000 Blythe Blvd, Charlotte, NC 28203-5812 · (704) 355-0720

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5008788 (NC)
Family Nurse Practitioner Primary 363LF0000X5008788 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1336692607

Mallory Mariya Ragan Royall, FNP's National Provider Identifier is 1336692607, issued on Aug 3, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Concord, NC. The record was last updated on Jul 15, 2024.