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MALLORY M MCKERNAN
NPI 1770164816
Nurse Practitioner in Baton Rouge, LA

Active since April 20, 2021
5000 HENNESSY BLVD, BATON ROUGE, LA 70808(225) 214-6438 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2022, Apr 20, 2021 (2 updates tracked since 2021).

About Mallory M Mckernan NPPES

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

MALLORY M MCKERNAN (NPI 1770164816) is an individual nurse practitioner in Baton Rouge, Louisiana, licensed in Louisiana (218572) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1770164816
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMALLORY M MCKERNAN
Location Address5000 HENNESSY BLVDBaton Rouge, LA 70808-4375
Mailing Address7777 Hennessy Blvd Ste 301Baton Rouge, LA 70808-0319
Phone(225) 214-6438
Sole ProprietorNo
Enumeration DateApril 20, 2021
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1770164816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in LA · 218572
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5000 HENNESSY BLVD, Baton Rouge, LA 70808
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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.

MS. JESSICA LYNN BROUSSE NP
Nurse Practitioner
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-4050
CASEY M LEBLANC MPAS, PA-C
Physician Assistant
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 757-0552
DR. RAYMOND TUCKER PHD
Psychologist (Clinical)
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-6565
KEENAN JAMES BUIE
Student in an Organized Health Care Education/Training Program
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 281-0127
KEVIN PATRICK HAYNES JR. MD
Physical Medicine & Rehabilitation
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-8987
TAHA AHMED MD
Hospitalist
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-4050
DR. JON RICHARD JACKSON M.D.
Internal Medicine
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-4050
SERENA M AUNON-CHANCELLOR MD
Internal Medicine
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 757-4080

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 Mckernan's NPI number?

The NPI number for Mallory Mckernan is 1770164816. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Mallory Mckernan located?

Mallory Mckernan practices at 5000 Hennessy Blvd, Baton Rouge, LA 70808. The listed phone number is (225) 214-6438.

What is Mallory Mckernan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mallory Mckernan was last updated on August 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.