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MALLORY ELLEN HOLDER CRNP
NPI 1104770619
Nurse Practitioner - Family in Monroeville, AL

Active since February 23, 2026
16 MEDICAL CENTER DR, MONROEVILLE, AL 36460(251) 575-1999 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallory Ellen Holder Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY ELLEN HOLDER CRNP (NPI 1104770619) is an individual family provider in Monroeville, Alabama, licensed in Alabama (1-109040) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1104770619
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY ELLEN HOLDERCredential: CRNP
Location Address16 MEDICAL CENTER DRMonroeville, AL 36460-3036
Mailing Address16 Medical Center DrMonroeville, AL 36460-3036 · (251) 575-1999
Phone(251) 575-1999
Sole ProprietorYes
Enumeration DateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1104770619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-109040
16 MEDICAL CENTER DR, Monroeville, AL 36460
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA ANN TATE CRNP
Nurse Practitioner (Family)
16 MEDICAL CENTER DR
MONROEVILLE, AL 36460
Monroe County (251) 593-9204
OPTIMUM WELLNESS & HYDRATION, LLC
General Practice
16 MEDICAL CENTER DR
MONROEVILLE, AL 36460
Monroe County (251) 239-9198
GULF COAST HEALTH & WELLNESS, LLC
Family Medicine
16 MEDICAL CENTER DR
MONROEVILLE, AL 36460
Monroe County (251) 575-1999
MRS. CAROLINE PHILLIPS RAINEY CPNP
Nurse Practitioner (Pediatrics)
16 MEDICAL CENTER DR
MONROEVILLE, AL 36460
Monroe County (251) 575-3266
MONROE COUNTY HEALTH CARE AUTHORITY
Family Medicine
16 MEDICAL CENTER DR
MONROEVILLE, AL 36460
Monroe County (251) 575-3266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Holder's NPI number?

The NPI number for Mallory Holder is 1104770619. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Where is Mallory Holder located?

Mallory Holder practices at 16 Medical Center Dr, Monroeville, AL 36460. The listed phone number is (251) 575-1999.

What is Mallory Holder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mallory Holder was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.