Olga Mallicoat, FNP
NPI #1821514738 in Morristown, Tennessee
Provider Information
- NPI Number
- 1821514738
- Entity Type
- Individual
- Name
- Olga Mallicoat, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- Aug 22, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 1082 SHADOW WOOD LN
- City
- Morristown
- State
- Tennessee
- ZIP Code
- 37814-8010
- Phone
- (423) 312-0864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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