Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MALLORY WOODEN
NPI 1467381574
Nurse Practitioner - Family in Fort Payne, AL

Active since May 15, 2026
617 GAULT AVE N, FORT PAYNE, AL 35967(256) 979-1633 Get Directions Write a Review

NPPES record added: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Wooden NPPES

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

MALLORY WOODEN (NPI 1467381574) is an individual family provider in Fort Payne, Alabama, licensed in Alabama (1-182761) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1467381574
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY WOODEN
Location Address617 GAULT AVE NFort Payne, AL 35967-2531
Mailing Address4451 Roden Dr NeFort Payne, AL 35967-7807 · (256) 996-7638
Sole ProprietorYes
Enumeration DateMay 15, 2026
NPPES CertifiedMay 15, 2026
NPI 1467381574 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 · 1-182761
617 GAULT AVE N, Fort Payne, AL 35967

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
617 GAULT AVE N
FORT PAYNE, AL 35967
Family Medicine
617 GAULT AVE N
FORT PAYNE, AL 35967

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 Wooden's NPI number?

The NPI number for Mallory Wooden is 1467381574. It was assigned to this individual provider in the NPPES registry on May 15, 2026.

Where is Mallory Wooden located?

Mallory Wooden practices at 617 Gault Ave N, Fort Payne, AL 35967. The listed phone number is (256) 979-1633.

What is Mallory Wooden'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 Wooden was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.