Individual provider · Type 1 NPI

Mallory Louise Dehaes

Nurse Practitioner · Pensacola, FL

NPI number 1992569909 Active

Practice location

123 Baptist Way
Pensacola, FL 32503-2254

Mailing address

8316 Mobile Hwy
Pensacola, FL 32526-5217

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XAPRN11028583 (FL)
Nurse Practitioner Primary 363L00000XAPRN11028583 (FL)

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 1992569909

Mallory Louise Dehaes's National Provider Identifier is 1992569909, issued on Feb 9, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pensacola, FL. The record was last updated on Feb 9, 2024.