NPI 1881023828

Mallory Leeann Broadaway, APRNCNP

Practitioner Psychiatric/Mental Health Nurse Practitioner Trumann, AR

Practice location

Address: 1704 Highway 69 West, Trumann, AR 72472-2029
Phone: (870) 483-4003
Fax: (870) 483-4009
Mailing address: 1815 Pleasant Grove Road, Jonesboro, AR 72401-7870

Registered specialties (2)

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence A003980 (AR)

Other Nurse Practitioner providers in Arkansas →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence A003980 (AR)

Registry record

NPI: 1881023828
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2013
Record last updated: 3 May 2021

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.