Individual provider · Type 1 NPI

Mallory Gore Livengood, DNP, FNP

Family Nurse Practitioner · Valparaiso, IN

NPI number 1629995253 Active

Practice location

3800 Saint Mary Rd Ste 303
Valparaiso, IN 46383-3986

Call (219) 286-3832 Map

Fax (219) 703-6935

Mailing address

8558 Broadway
Merrillville, IN 46410-7032

Other practice locations

  • 1400 S Lake Park Ave Ste 301, Hobart, IN 46342-6791 · (219) 286-3832

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71018442A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1629995253

Mallory Gore Livengood, DNP, FNP's National Provider Identifier is 1629995253, issued on Jul 3, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Valparaiso, IN. The record was last updated on Sep 1, 2026.