Individual provider · Type 1 NPI
Mallory M. McKernan
Nurse Practitioner · Baton Rouge, LA
Practice location
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Mailing address
7777 Hennessy Blvd Ste 301
Baton Rouge, LA 70808-0319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 218572 (LA) |
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 1770164816
Mallory M. McKernan's National Provider Identifier is 1770164816, issued on Apr 20, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Aug 10, 2022.