SearchIndianaFamily Nurse Practitioner

Tammra Mallory, FNP-C

NPI 1750757076 · on the registry since 2015 · sole proprietor

Practice

Address
11027 Baycreek Dr
Indianapolis, IN 46236
Phone
(813) 730-8960

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Also registered as
Family Nurse Practitioner
Family Nurse Practitioner
Family Nurse Practitioner
Family Nurse Practitioner
Family Nurse Practitioner
Family Nurse Practitioner
Family Nurse Practitioner
Family Nurse Practitioner
Family Nurse Practitioner
Family Nurse Practitioner
Family Nurse Practitioner
Family Nurse Practitioner
Family Nurse Practitioner
Family Nurse Practitioner
Licence states on file
IN, OH, MO, NM, FL, MN, TN, KY, KS, NY, WA, WI, IA, NH, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-24
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana