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Contact Information

MALLORI M FLETCHER, NP
9103 JEFFERSON HWY
BATON ROUGE, LA70809-2440
 Phone: 225-927-1190
 Fax: 225-927-0988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MALLORI M FLETCHER · (Female)

NPI # 1750734356
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/19/2016
Last updated 02/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • LA License # AP08798
Hospital affiliation(s)
  • OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER - (Acute Care)
    5000 HENNESSY BLVD
    BATON ROUGE, LA 70808
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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