MRS. MALLORY MCKEEL


Address: 18005 Heard Loop, Austin, TX 78738-2110
Phone: 5128093985

MRS. MALLORY MCKEEL (NPI# 1205449352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205449352
Entity Type Individual
Full Name MRS. MALLORY MCKEEL
Credential FNP-C
Practice Address 18005 Heard Loop
Austin
TX 78738-2110
Practice Telephone 5128093985
Mailing Telephone 5128093985
Enumeration Date 2020-08-28
Last Update Date 2020-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
1011080 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 18005 HEARD LOOP
City AUSTIN
State TX
Zip Code 78738-2110

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City AUSTIN
Zip Code 78738

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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