Lisa R Mallory
AGNP-C | Nurse Practitioner - Gerontology | 8+ years Exp
506 Chestnut St, South Charleston
West Virginia, 25309-1204
304-766-8558
Lisa R Mallory is a South Charleston, West Virginia based nurse practitioner with 8 years of experience in Gerontology. She completed her graduation in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa R Mallory is APRN74140-AGPCNP-BC for Adult Health in West Virginia. Her current practice location is 506 Chestnut St, South Charleston. Patients can reach her at 304-766-8558 or can fax her at 304-766-8561. Lisa R Mallory is AGNP-C with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1598223216.
Lisa R Mallory is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Lisa R Mallory speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lisa R Mallory |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Female |
| Credentials: | AGNP-C |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2018 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 506 Chestnut St, South Charleston,
West Virginia, 25309-1204 |
| Phone: | 304-766-8558 |
| Fax: | 304-766-8561 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9830431493 |
| Enrollment ID: | I20190430002944 |
| NPI Number: | 1598223216 |
| NPI Enumeration Date: | 12 Mar, 2019 |
| NPI Last Update On: | 07 Jan, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa R Mallory are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN74140-AGPCNP-BC | Adult Health | West Virginia | Primary | |
| APRN741400AGPCNP-BC | Gerontology | West Virginia | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lisa R Mallory is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Ths Physician Partners Inc (9537316393) | 84 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lisa R Mallory
4605 Maccorkle Ave Sw,
South Charleston, West Virginia |
| Zip: | 25309-1311 |
| Phone Number: | 304-414-4800 |
Patients can reach Lisa R Mallory at
506 Chestnut St, South Charleston, West Virginia or can
call to book an appointment on 304-766-8558.
Comments/ Reviews:
Patients can read all the reviews posted for Lisa R Mallory below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Lisa R Mallory. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.