Mallory Lynne Smith
AGACNP-BC | Nurse Practitioner - Adult Health
3900 Kresge Way Ste 42, Louisville
Kentucky, 40207-4681
502-899-3858
May or may not accept Medicare Nurse Anesthetist in Louisville, Kentucky.Mallory Lynne Smith is a Louisville, Kentucky based nurse practitioner who is specialized as Adult Health nurse. Active license number of Mallory Lynne Smith is 4018626 for Adult Health in Kentucky. Her current practice location is 3900 Kresge Way Ste 42, Louisville. Patients can reach her at 502-899-3858 or can fax her at 502-899-3878. Mallory Lynne Smith is AGACNP-BC with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1609334630.
Mallory Lynne Smith can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Mallory Lynne Smith speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mallory Lynne Smith |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | AGACNP-BC |
| Practice Address: | 3900 Kresge Way Ste 42, Louisville, Kentucky, 40207-4681 |
| Phone: | 502-899-3858 |
| Fax: | 502-899-3878 |
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.
| NPI Number: | 1609334630 |
| NPI Enumeration Date: | 08 Mar, 2019 |
| NPI Last Update On: | 17 Sep, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mallory Lynne Smith are as mentioned below.
| License Number | Specialization | State | Status | |
| 4018626 | Adult Health | Kentucky | Primary | |
| AP140939 | Adult Health | Texas | Secondary | |
| 95014580 | Critical Care Medicine | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mallory Lynne Smith such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7100983120 | Medicaid | Kentucky | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mallory Lynne Smith 1901 Campus Pl, Louisville, Kentucky |
| Zip: | 40299-2308 |
| Phone Number: | 502-253-4924 |
| Fax Number: | 502-489-5750 |
Patients can reach Mallory Lynne Smith at
3900 Kresge Way Ste 42, Louisville, Kentucky or can
call to book an appointment on 502-899-3858.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.