CEOLA MALLORY
NPI 1952861833
Licensed Practical Nurse in Detroit, MI

Q: What is Ceola Mallory's NPI number?

The NPI number for Ceola Mallory is 1952861833. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Ceola Mallory's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ceola Mallory was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 25, 2019

5519 NOTTINGHAM RD, DETROIT, MI 48224(313) 285-0842 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ceola Mallory NPPES

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

CEOLA MALLORY (NPI 1952861833) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703076321) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1952861833

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameCEOLA MALLORY

Location Address5519 NOTTINGHAM RDDetroit, MI 48224-3134

Mailing Address5519 Nottingham RdDetroit, MI 48224-3134

Phone(313) 285-0842

Sole ProprietorNo

Enumeration DateMarch 25, 2019

✔ NPI 1952861833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703076321

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

5519 NOTTINGHAM RD, Detroit, MI 48224

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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 Ceola Mallory's NPI number?

The NPI number for Ceola Mallory is 1952861833. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Ceola Mallory located?

Ceola Mallory practices at 5519 Nottingham Rd, Detroit, MI 48224. The listed phone number is (313) 285-0842.

What is Ceola Mallory's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ceola Mallory was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.