MALLORY J. WILBON APRN-FNP
NPI 1669666442
Nurse Practitioner - Family in Memphis, TN

Active since September 05, 2007
2158 UNION AVE, STE. 100, MEMPHIS, TN 38104(901) 728-5858(901) 507-0558 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mallory J. Wilbon Aprn-fnp NPPES

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

MALLORY J. WILBON APRN-FNP (NPI 1669666442) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (APN0000010556) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1669666442
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY J. WILBONCredential: APRN-FNP
Location Address2158 UNION AVE, STE. 100Memphis, TN 38104-4205
Mailing Address2158 Union Ave, Ste. 100Memphis, TN 38104-4205 · (901) 728-5858 · Fax (901) 507-0558
Fax(901) 507-0558
Sole ProprietorNo
Enumeration DateSeptember 5, 2007
NPI 1669666442 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 TN · APN0000010556
2158 UNION AVE, Memphis, TN 38104

Other Providers at the Same Location NPPES

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

Nurse Practitioner
2158 UNION AVE, SUITE 100
MEMPHIS, TN 38104

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 Wilbon's NPI number?

The NPI number for Mallory Wilbon is 1669666442. It was assigned to this individual provider in the NPPES registry on September 5, 2007.

Where is Mallory Wilbon located?

Mallory Wilbon practices at 2158 Union Ave Ste. 100, Memphis, TN 38104. The listed phone number is (901) 728-5858.

What is Mallory Wilbon'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 Wilbon was last updated on September 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.