Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KIEARA MALLORY
NPI 1629996152
Nurse Practitioner - Women's Health in Pace, FL

Active since July 10, 2026
7597 SADDLEBROOK AVE, PACE, FL 32571(931) 220-1607 Get Directions Write a Review

NPPES record added: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kieara Mallory NPPES

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

KIEARA MALLORY (NPI 1629996152) is an individual women's health provider in Pace, Florida, licensed in Florida (9648548) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1629996152
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKIEARA MALLORY
Location Address7597 SADDLEBROOK AVEPace, FL 32571-9854
Mailing Address7597 Saddlebrook AvePace, FL 32571-9854
Sole ProprietorYes
Enumeration DateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
NPI 1629996152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in FL · 9648548
7597 SADDLEBROOK AVE, Pace, FL 32571

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 Kieara Mallory's NPI number?

The NPI number for Kieara Mallory is 1629996152. It was assigned to this individual provider in the NPPES registry on July 10, 2026.

Where is Kieara Mallory located?

Kieara Mallory practices at 7597 Saddlebrook Ave, Pace, FL 32571. The listed phone number is (931) 220-1607.

What is Kieara Mallory's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Kieara Mallory was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.