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MALLORY JENGO
NPI 1336015585
Student in an Organized Health Care Education/Training Program in Norfolk, VA

Active since October 15, 2025
825 FAIRFAX AVE, NORFOLK, VA 23507(757) 446-5600 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Jengo NPPES

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

MALLORY JENGO (NPI 1336015585) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1336015585
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMALLORY JENGO
Location Address825 FAIRFAX AVENorfolk, VA 23507-1914
Mailing Address825 Fairfax AveNorfolk, VA 23507-1912 · (757) 446-5600
Phone(757) 446-5600
Sole ProprietorNo
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1336015585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
825 FAIRFAX AVE, Norfolk, VA 23507
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Other Providers at the Same Location NPPES 20

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

MRUNA PATEL MD
Internal Medicine (Nephrology)
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-7934
XIPI AMIN
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5600
MARY GRACE LIBERATORE YOUNG
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 466-5600
DR. RICHARD M. WHALEN MD
Family Medicine
825 FAIRFAX AVE, SUITE 118
NORFOLK, VA 23507
Norfolk City (757) 446-5955
DR. JESSICA D SNOOK FNP
Nurse Practitioner (Family)
825 FAIRFAX AVE, 118
NORFOLK, VA 23507
Norfolk City (757) 446-5955
DR. JOSHUA KEITH ROGERS DO
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5955
NICOLE GUNAWANSA MD
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5955
BINTA MUSTAPHA
Student in an Organized Health Care Education/Training Program
825 FAIRFAX AVE
NORFOLK, VA 23507
Norfolk City (757) 446-5600

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 Jengo's NPI number?

The NPI number for Mallory Jengo is 1336015585. It was assigned to this individual provider in the NPPES registry on October 15, 2025.

Where is Mallory Jengo located?

Mallory Jengo practices at 825 Fairfax Ave, Norfolk, VA 23507. The listed phone number is (757) 446-5600.

What is Mallory Jengo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mallory Jengo was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.