Nurse Practitioner, Pediatrics
MALLORY JACOBER
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 Plan acceptance stays unpublished until the practice reports it.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 1871200964 · enumerated 2022-10-31 · record updated 2023-02-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 44201 DEQUINDRE RD STE EC, TROY, MI, 48085-1117 (248) 259-3088 Google Maps Apple Maps OpenStreetMap
- Mailing address 44201 DEQUINDRE RD STE EC, TROY, MI, 48085-1117 (248) 964-5111 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 4704319264 MI
- Nurse Practitioner 363L00000X · License 4704319264 MI
In this directory
Locations and evidence
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Practice location
TROY, MI, 480851117
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.