Individual provider · Type 1 NPI

Mallory Eubank, MSN, APRN-C

Family Nurse Practitioner · Lees Summit, MO

NPI number 1407410210 Active

Practice location

2100 SE Blue Pkwy
Lees Summit, MO 64063-1007

Mailing address

9022 NE 103rd Ter
Kansas City, MO 64157-7872

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2018043924 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1407410210

Mallory Eubank, MSN, APRN-C's National Provider Identifier is 1407410210, issued on Apr 26, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lees Summit, MO. The record was last updated on Apr 26, 2019.