Individual provider · Type 1 NPI
Mallory J. Wilbon, APRN-FNP
Family Nurse Practitioner · Memphis, TN
NPI number
1669666442
Active
Practice location
2158 Union Ave, Ste. 100
Memphis, TN 38104-4205
Fax (901) 507-0558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN0000010556 (TN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1669666442
Mallory J. Wilbon, APRN-FNP's National Provider Identifier is 1669666442, issued on Sep 5, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Memphis, TN. The record was last updated on Sep 5, 2007.