ELIZA MALL NP-C NPI 1700262896

NPI Information

NPI: 1700262896
Provider Name: ELIZA MALL, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
7609 STANDIFER GAP RD
CHATTANOOGA, TN
ZIP 37421
Phone: (423) 308-3977
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Eliza Mall, NP-C is a family nurse practitioner in Chattanooga, TN. Eliza Mall, NP-C NPI is 1700262896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7609 STANDIFER GAP RD
CHATTANOOGA, TN
ZIP 37421-104
Phone: (423) 308-3977

The NPI 1700262896 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 1/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	20333	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	20333	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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