MALLORY LYNN CAMPBELL (NPI# 1750930590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750930590 |
| Entity Type | Individual |
| Full Name | MALLORY LYNN CAMPBELL |
| Credential | RN |
| Practice Address |
725 Mason St Flint MI 48503-2421 |
| Mailing Address |
8437 Pineview Lake Dr Linden MI 48451-9770 |
| Practice Telephone | 8104965777 |
| Mailing Telephone | 9893291108 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704306695 | MI | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3109 Kleinpell St, Flint, MI 485072167 | 8104225834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081424 | Mallory L Campbell | Social Worker | 230 N Columbus St Ste 2, Lancaster, OH 43130-3093 | 2020-01-06 |
| Street Address |
725 MASON ST |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952354631 | Francesca M Petrilli | Nurse Practitioner | 725 Mason St, Flint, MI 48503-2421 | 2006-05-17 |
| 1275183535 | Drita Nuculovic | Licensed Practical Nurse | 725 Mason St, Flint, MI 48503-2421 | 2019-09-18 |
| 1922593847 | Kyle Taylor | Nurse Practitioner | 725 Mason St, Flint, MI 48503-2421 | 2018-06-22 |
| 1174022735 | Shirley Cathey | Peer Specialist | 725 Mason St, Flint, MI 48503-2421 | 2018-02-08 |
| 1205346939 | Genesee Health System | Clinic/Center | 725 Mason St, Flint, MI 48503-2421 | 2017-10-09 |
| 1427587120 | Rachael Elizabeth Compeau | Nurse Practitioner | 725 Mason St, Flint, MI 48503 | 2017-06-06 |
| 1043678303 | Angelya Higginbotham | Social Worker | 725 Mason St, Flint, MI 48503-2421 | 2016-02-02 |
| 1366849374 | Kelsey Ellis | Occupational Therapist | 725 Mason St, Flint, MI 48503-2421 | 2014-11-20 |
| 1083043202 | Thomas Matus | Social Worker | 725 Mason St, Flint, MI 48503-2421 | 2013-11-07 |
| 1134568207 | Stephanie A Clarke | Social Worker | 725 Mason St, Flint, MI 48503-2421 | 2013-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470501 | Maria Magdalena Tabares | Registered Nurse | 16832 Hillside Dr, Flint, TX 75762-9380 | 2020-09-07 |
| 1679198691 | Amber Marlena Denson | Registered Nurse | 17191 County Road 1108, Flint, TX 75762-2630 | 2020-06-15 |
| 1194346759 | Kelly Nicole Ellis | Registered Nurse | 13819 County Road 1131, Flint, TX 75762-2419 | 2020-05-05 |
| 1790244861 | Melissa Pilon | Registered Nurse | 538 Sorrel Dr, Flint, MI 48506-4593 | 2019-03-18 |
| 1427528926 | Makesha Deann Glenn | Registered Nurse | 15081 Brookstone Dr, Flint, TX 75762-2717 | 2018-11-28 |
| 1588142475 | Y Huynnhu Chau | Registered Nurse | 10735 County Road 169, Flint, TX 75762-9413 | 2018-08-01 |
| 1437647690 | Brandon Michael Gill | Registered Nurse | 19153 Honeysuckle Dr., Flint, TX 75762 | 2018-04-24 |
| 1831690247 | Liliana Carina Rodriguez | Registered Nurse | 13376 County Road 1131, Flint, TX 75762-2417 | 2018-02-22 |
| 1235643487 | Sandra Florida | Registered Nurse | 1057 E Coldwater Rd, Flint, MI 48505-1501 | 2017-11-27 |
| 1356861363 | Irma Jean Stewart | Registered Nurse | 5501 Sugar Bush Ln, Flint, MI 48532-2240 | 2017-06-21 |
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| 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.