Individual provider · Type 1 NPI

Tammra Kay Mallory, FNP-C

Family Nurse Practitioner · Indianapolis, IN

NPI number 1750757076 Active

Practice location

11027 Baycreek Dr
Indianapolis, IN 46236-9101

Mailing address

885 3rd Ave Fl 28
New York, NY 10022-4834

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71007270A (IN)
Family Nurse Practitioner 363LF0000X28237767A (OH)
Family Nurse Practitioner 363LF0000X2023038564 (MO)
Family Nurse Practitioner 363LF0000X87047 (NM)
Family Nurse Practitioner 363LF0000XAPRN9497550 (FL)
Family Nurse Practitioner 363LF0000X10911 (MN)
Family Nurse Practitioner 363LF0000X40452 (TN)
Family Nurse Practitioner 363LF0000X4008679 (KY)
Family Nurse Practitioner 363LF0000X53-82580-082 (KS)
Family Nurse Practitioner 363LF0000X358318 (NY)
Family Nurse Practitioner 363LF0000X61654547 (WA)
Family Nurse Practitioner 363LF0000X14590-33 (WI)
Family Nurse Practitioner 363LF0000XA176453 (IA)
Family Nurse Practitioner 363LF0000X116290-23 (NH)
Family Nurse Practitioner 363LF0000X209013163 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1750757076

Tammra Kay Mallory, FNP-C's National Provider Identifier is 1750757076, issued on Aug 20, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 24, 2026.