Physician Assistant
MALLORY TATUM P.A.
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 Plan acceptance stays unpublished until the practice reports it.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 1467978403 · enumerated 2017-08-22 · record updated 2020-03-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: MALLORY STEPHENS
Addresses and phones
- Practice location 9160 HIGHWAY 64 STE 105, LAKELAND, TN, 38002-3011 (901) 213-0100 Fax (901) 213-0101 Google Maps Apple Maps OpenStreetMap
- Mailing address 8016 ELLIS RD, BARTLETT, TN, 38133-2806 (662) 322-9442 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 3352 TN
In this directory
Locations and evidence
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Practice location
LAKELAND, TN, 380023011
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.