Individual provider · Type 1 NPI
Justice Mallard
School Registered Nurse · Smyrna, DE
NPI number
1720843345
Active
Practice location
15 Ferndale Dr
Smyrna, DE 19977-4532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse Primary | 163WS0200X | L1-0053610 (DE) |
School Registered Nurse: Definition to come...
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About NPI 1720843345
Justice Mallard's National Provider Identifier is 1720843345, issued on Feb 14, 2024. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Smyrna, DE. The record was last updated on Feb 14, 2024.