Nurse Practitioner, Pediatrics
MALLORY FORT P.N.P.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1659707057 · enumerated 2013-09-18 · record updated 2013-09-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1600 NASHVILLE HWY, COLUMBIA, TN, 38401-1004 (931) 388-8965 Fax (931) 388-0815 Google Maps Apple Maps OpenStreetMap
- Mailing address 1600 NASHVILLE HWY, COLUMBIA, TN, 38401-1004 (931) 388-8965 Fax (931) 388-0815 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License APN17959 TN
In this directory
Locations and evidence
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Practice location
COLUMBIA, TN, 384011004
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.