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MISS SHANELL MELISSA MALLORY LPN
NPI 1174856678
Licensed Practical Nurse in Elyria, OH

Active since September 15, 2009
815 CONCORD AVE, ELYRIA, OH 44035(440) 452-1353 Get Directions Write a Review

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Shanell Melissa Mallory Lpn NPPES

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

MISS SHANELL MELISSA MALLORY LPN (NPI 1174856678) is an individual licensed practical nurse in Elyria, Ohio, licensed in Ohio (PN 102168) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1174856678
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS SHANELL MELISSA MALLORYCredential: LPN
Location Address815 CONCORD AVEElyria, OH 44035-6507
Mailing Address815 Concord AveElyria, OH 44035-6507 · (440) 452-1353
Phone(440) 452-1353
Sole ProprietorYes
Enumeration DateSeptember 15, 2009
✔ NPI 1174856678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN 102168
Definition
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.
815 CONCORD AVE, Elyria, OH 44035
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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 Shanell Mallory's NPI number?

The NPI number for Shanell Mallory is 1174856678. It was assigned to this individual provider in the NPPES registry on September 15, 2009.

Where is Shanell Mallory located?

Shanell Mallory practices at 815 Concord Ave, Elyria, OH 44035. The listed phone number is (440) 452-1353.

What is Shanell Mallory's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shanell Mallory was last updated on September 15, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.