MALLORY MOORE LPN NPI 1578972501

NPI Information

  • NPI: 1578972501
  • Provider Name: MALLORY MOORE, LPN
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 5252 REFUGEE RD
    COLUMBUS, OH
    ZIP 43232
  • Phone: (614) 636-2811

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NPI Details

Mallory Moore, LPN is a licensed practical nurse in Columbus, OH. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Mallory Moore, LPN NPI is 1578972501. 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:

5252 REFUGEE RD
COLUMBUS, OH
ZIP 43232-355
Phone: (614) 636-2811
Fax: (614) 340-4671

The enumeration date for this NPI number is 8/4/2014 and was last updated on 3/17/2018.

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
1164W00000XLicensed Practical Nurse155601OHIOYes

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: 11/21/2025

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