Individual provider · Type 1 NPI
Mallory Leeann Broadaway, APRN-CNP
Psychiatric/Mental Health Nurse Practitioner · Trumann, AR
NPI number
1881023828
Active
Practice location
1704 Highway 69 West
Trumann, AR 72472-2029
Fax (870) 483-4009
Mailing address
1815 Pleasant Grove Road
Jonesboro, AR 72401-7870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A003980 (AR) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | A003980 (AR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
9 other providers at this address
- Families, Inc of ArkansasMental Health Clinic/Center (Including Community Mental Health Center) Trumann, AR NPI 1457547168
- Ashley Deshae Madden, LCSWClinical Social Worker Trumann, AR NPI 1548514839
- Dana Bevill Watson, PSYDClinical Psychologist Trumann, AR NPI 1851341010
- Debra Hicks, MHPPCase Manager/Care Coordinator Trumann, AR NPI 1326333774
- Floyd Shivers, MHPPCase Manager/Care Coordinator Trumann, AR NPI 1174816151
- Joesph Anderson, MHPPCase Manager/Care Coordinator Trumann, AR NPI 1659548311
- Sarah Kilgore, MHPPCase Manager/Care Coordinator Trumann, AR NPI 1639496722
- Tammy Renay Smith, LPCProfessional Counselor Trumann, AR NPI 1588786255
- Wade Drury, LMSWSocial Worker Trumann, AR NPI 1083929624
About NPI 1881023828
Mallory Leeann Broadaway, APRN-CNP's National Provider Identifier is 1881023828, issued on Nov 8, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Trumann, AR. The record was last updated on May 3, 2021.