Individual provider · Type 1 NPI

Mallory K. Pearson, PA

Physician Assistant · Fort Wayne, IN

NPI number 1407564537 Active

Practice location

11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701

Call (260) 672-6443 Map

Fax (260) 672-6459

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10003871A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407564537

Mallory K. Pearson, PA's National Provider Identifier is 1407564537, issued on Nov 8, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 3, 2026.