NPI 1174938211

Mallory Bankston, APRNFNPC

Practitioner Family Nurse Practitioner Baker, LA

Practice location

Address: 12880 Plank Rd, Baker, LA 70714-4909
Phone: (225) 774-7111
Fax: (225) 774-7714

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence AP07816 (LA)

Other Nurse Practitioner providers in Louisiana →

Registry record

NPI: 1174938211
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2014
Record last updated: 12 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.