Individual provider · Type 1 NPI

Mallory Middleton, NP

Pediatric Nurse Practitioner · Monroe, LA

NPI number 1992367833 Active

Practice location

920 Oliver Rd
Monroe, LA 71201-5702

Call (318) 807-6263 Map

Fax (318) 812-7348

Mailing address

130 Desiard St Ste 355
Monroe, LA 71201-7363

Other practice locations

320 S Ridge Rd, Rayville, LA 71269-7684 · (318) 557-9626

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	206724 (LA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1992367833

Mallory Middleton, NP's National Provider Identifier is 1992367833, issued on Jul 1, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Monroe, LA. The record was last updated on Jan 16, 2020.