MRS. MALLORY BANKSTON


Address: 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022
Phone: 2252614493

MRS. MALLORY BANKSTON (NPI# 1174938211) 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) 1174938211
Entity Type Individual
Full Name MRS. MALLORY BANKSTON
Credential APRN, FNP-C
Practice Address 11055 Shoe Creek Dr
Baton Rouge
LA 70818-4022
Practice Telephone 2252614493
Mailing Telephone 2252614493
Enumeration Date 2014-06-27
Last Update Date 2014-06-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP07816 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11055 SHOE CREEK DR
City BATON ROUGE
State LA
Zip Code 70818-4022

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245329325 Melissa R Barrett Emergency Medicine 11055 Shoe Creek Dr, Baton Rouge, LA 70818 2006-10-12
1306446414 Kyle Michael Leblanc Physician Assistant 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 2020-10-28
1306457379 Tram Tran Fruge Nurse Practitioner 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 2020-08-13
1558917815 Elizabeth Blough Physician Assistant 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 2019-08-13
1598250870 Crissy Devall Nurse Practitioner 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 2018-06-28
1437659547 Crissy Carrier Sharpe Nurse Practitioner 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 2018-02-15
1326571639 Megan Payne Loupe Nurse Practitioner 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 2017-04-05
1629509518 Emilie Fiandt Nurse Practitioner 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 2017-03-23
1215477260 Lacey Callegan Nurse Practitioner 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 2017-02-23
1720497365 Katie Chatelain Nurse Practitioner 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 2014-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508385576 Stacia Clay Driver 8210 Brennen Drive, Baton Rouge, LA 70818 2017-09-11
1952650376 Tara Rispone Delee Social Worker 12249 Hooper Road, Baton Rouge, LA 70818 2012-08-30
1417231705 Cyril Floyd Broussard Pharmacist 14360 Wax Rd., Central, LA 70818 2011-10-05
1972887263 Charles Erwin Seymour Pharmacist 14360 Wax Road, Central, LA 70818 2011-10-05
1306146089 Central Chiropractic Center, Inc. Preferred Provider Organization 8755 Sullivan Road, Suite A, Central, LA 70818 2010-10-27
1649596321 Fast Lane of Central LLC Clinic/Center 11421 Sullivan Rd, Bldg B, Baton Rouge, LA 70818 2010-04-20
1992837710 James H Hebert Dentist 11424 Sullivan Road, Suite A, Baton Rouge, LA 70818 2007-03-09
1235295221 Walter Jules Vaughan Dentist 13323 Hooper Rd., Baton Rouge, LA 70818 2006-12-28
1740208867 Michael Romaguera Family Medicine 11055 Shoe Creek Drive, Baton Rouge, LA 70818 2006-07-17
1841238763 Helen M Balzli Physical Therapist 13111 Hooper Rd, Baton Rouge, LA 70818 2006-06-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629684923 On -demand Healthcare of Louisiana LLC Nurse Practitioner 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 2020-09-22
1972116424 Kiona Brooke Hayes Nurse Practitioner 1224 Meridian Dr, Baton Rouge, LA 70820-5316 2020-08-25
1932727286 Alise Williams Nurse Practitioner 3333 Drusilla Ln Ste A, Baton Rouge, LA 70809-2418 2020-07-13
1881211803 Shelita Banks Nurse Practitioner 11622 Flamingo Dr, Baton Rouge, LA 70814-7141 2020-06-26
1558985457 Erika Halphen Forbes Nurse Practitioner 8281 Goodwood Blvd Ste D1, Baton Rouge, LA 70806-7742 2020-06-05
1326676792 Divinity Healthcare Clinic Nurse Practitioner 4021 We Heck Ct Ste B1, Baton Rouge, LA 70816-0405 2020-03-31
1477188738 Kenisha Hampton Manuel Nurse Practitioner 4550 North Blvd Ste 100, Baton Rouge, LA 70806-4013 2020-03-06
1073157418 Lakeva Marie Percy Nurse Practitioner 1522 Fig St, Baton Rouge, LA 70802-5028 2019-10-29
1144875162 The Care Clinic LLC Nurse Practitioner 4336 North Blvd Ste 101, Baton Rouge, LA 70806-3920 2019-08-06
1467004127 Eddricka Fleming Franklin Nurse Practitioner 5884 Benson Dr, Baton Rouge, LA 70812-2605 2019-07-12
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Competitor

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City BATON ROUGE
Zip Code 70818

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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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