Individual provider · Type 1 NPI

Mallory Anne Jeffers

Nurse Practitioner · Charlotte, NC

NPI number 1730031345 Active

Practice location

136 E 36th St Ste 200
Charlotte, NC 28206-0052

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5024818 (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…

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About NPI 1730031345

Mallory Anne Jeffers's National Provider Identifier is 1730031345, issued on Feb 14, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 2, 2026.