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DR. MALLORY REEDER DAVIS APRN
NPI 1710640800
Nurse Practitioner - Family in Jonesboro, AR

Active since October 15, 2021
4334 E HIGHLAND DR STE A, JONESBORO, AR 72401(870) 802-0012 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mallory Reeder Davis Aprn NPPES

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

DR. MALLORY REEDER DAVIS APRN (NPI 1710640800) is an individual family provider in Jonesboro, Arkansas, licensed in Arkansas (217046) and active in the NPI registry since October 2021. She maintains a secondary practice location in Jonesboro.

NPPES Registry Identity

NPI1710640800
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. MALLORY REEDER DAVISCredential: APRN
Location Address4334 E HIGHLAND DR STE AJonesboro, AR 72401-6621
Mailing Address5107 Kara DrJonesboro, AR 72405-9726
Phone(870) 802-0012
Sole ProprietorNo
Enumeration DateOctober 15, 2021
NPPES CertifiedOctober 15, 2021
✔ NPI 1710640800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · 217046
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 217046 (AR)
4334 E HIGHLAND DR STE A, Jonesboro, AR 72401
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Secondary Practice Location 1

Location 11 Nice Pack RdJonesboro, AR 72404-8486 · Phone (870) 935-6423

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 Davis's NPI number?

The NPI number for Mallory Davis is 1710640800. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Mallory Davis located?

Mallory Davis practices at 4334 E Highland Dr Ste A, Jonesboro, AR 72401. The listed phone number is (870) 802-0012.

What is Mallory Davis'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 Davis was last updated on October 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.