Individual provider · Type 1 NPI

Ceola Mallory

Licensed Practical Nurse · Detroit, MI

NPI number 1952861833 Active

Practice location

5519 Nottingham Rd
Detroit, MI 48224-3134

Call (313) 285-0842 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703076321 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1952861833

Ceola Mallory's National Provider Identifier is 1952861833, issued on Mar 25, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Mar 25, 2019.