Mallory Jacober

Individual Active
NPI 1871200964
Pediatric Nurse Practitioner Troy, MI

Mallory Jacober is a pediatric nurse practitioner practicing in Troy, MI. The NPI was issued on October 31, 2022, and the record was last updated in NPPES on February 3, 2023. The record lists 2 taxonomy codes. 2 additional practice locations are listed.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 4704319264 (MI)
Nurse Practitioner 363L00000X 4704319264 (MI)

Practice locations

44201 Dequindre Rd Ste Ec
Troy, MI 48085-1117
Phone: (248) 259-3088
2440 Shawood St
Novi, MI 48377-1970
Phone: (248) 535-2454
44199 Dequindre Rd Ste 502
Troy, MI 48085-1128
Phone: (248) 964-5880

Local context

Active NPPES records list 218 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 61 of them within 10 miles.

The same primary taxonomy is listed by 537 in Michigan and 24,071 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mallory Jacober
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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