Individual provider · Type 1 NPI
Mallory Rich Shatlock, NURSE PRACTITIONER
Nurse Practitioner · Winston Salem, NC
Practice location
190 Kimel Park Dr Ste 155
Winston Salem, NC 27103-6946
Fax (336) 765-6964
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice locations
- 3535 Grandview Pkwy Ste 150, Birmingham, AL 35243-2027 · (205) 250-6805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1-159191 (AL) |
| Nurse Practitioner Primary | 363L00000X | 5021115 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
16 other providers at this address
- Novant Health Medical Group, LLCNeurological Surgery Physician Winston Salem, NC NPI 1497080006
- Chelsea Jayne Jensen, PAPhysician Assistant Winston Salem, NC NPI 1780296913
- Elizabeth Naylor Kuhn, MDNeurological Surgery Physician Winston Salem, NC NPI 1285044347
- Kathryn Lim HartgroveNurse Practitioner Winston Salem, NC NPI 1639642994
- Kevin Atul ShahNeurological Surgery Physician Winston Salem, NC NPI 1467816983
- Kristin Leigh DanielNurse Practitioner Winston Salem, NC NPI 1518588409
- Mark Andrew Hnilica, MDNeurological Surgery Physician Winston Salem, NC NPI 1922091339
- Mark Andrew Lyerly, MDNeurological Surgery Physician Winston Salem, NC NPI 1881661791
- Michelle Elizabeth De Witt, MDNeurological Surgery Physician Winston Salem, NC NPI 1124472170
- Sarah Lynn Bush, NPNurse Practitioner Winston Salem, NC NPI 1760921522
- Scott Joseph Bellamy Nimmons, MDOrthopaedic Surgery Physician Winston Salem, NC NPI 1386090579
- Tammy P. Slater, NPNurse Practitioner Winston Salem, NC NPI 1740218148
Other nurse practitioner providers in Winston Salem
- Kaila HaskinsNurse Practitioner Winston Salem, NC NPI 1003395948
- Cora Robbins, NPNurse Practitioner Winston Salem, NC NPI 1003533191
- Joy Lianne Justice, FNPNurse Practitioner Winston Salem, NC NPI 1013122092
- Deborah Krist PotticaryNurse Practitioner Winston Salem, NC NPI 1013455039
- Simonica Uriah Forrest, FNP-CNurse Practitioner Winston Salem, NC NPI 1013639459
- Bridgett Amanda Saliba, NNP-BCNurse Practitioner Winston Salem, NC NPI 1013673987
- Lisa Anne Cooleen, N.P.Nurse Practitioner Winston Salem, NC NPI 1023270972
- Angela T. Donnelly, ANPNurse Practitioner Winston Salem, NC NPI 1023275138
About NPI 1548728249
Mallory Rich Shatlock, NURSE PRACTITIONER's National Provider Identifier is 1548728249, issued on Mar 12, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Dec 30, 2024.