Mallory Miller Pendergrass
AG-ACNP | Nurse Practitioner - Acute Care | 12+ years Exp
620 Skyline Dr, Jackson
Tennessee, 38301-3923
731-541-6900
Mallory Miller Pendergrass is a Jackson, Tennessee based nurse practitioner with 12 years of experience in Acute Care. She completed her graduation in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mallory Miller Pendergrass is 19221 for Acute Care in Tennessee. Her current practice location is 620 Skyline Dr, Jackson. Patients can reach her at 731-541-6900. Mallory Miller Pendergrass is AG-ACNP with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1629475348.
Mallory Miller Pendergrass is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Mallory Miller Pendergrass 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 Miller Pendergrass |
| Specialization: | Acute Care Nurse Practitioner (ACNP) |
| Gender: | Female |
| Credentials: | AG-ACNP |
| Experience: | 12+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2014 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 620 Skyline Dr, Jackson,
Tennessee, 38301-3923 |
| Phone: | 731-541-6900 |
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: | 8628373271 |
| Enrollment ID: | I20200114003759 |
| NPI Number: | 1629475348 |
| NPI Enumeration Date: | 24 Nov, 2014 |
| NPI Last Update On: | 21 Jul, 2025 |
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 Miller Pendergrass are as mentioned below.
| License Number | Specialization | State | Status | |
| 19221 | Acute Care | Tennessee | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (440002) | Jackson, TN | Acute Care Hospital |
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 Mallory Miller Pendergrass is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Medical Center Anesthesia, Inc (2769629187) | 92 |
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 Miller Pendergrass
620 Skyline Dr,
Jackson, Tennessee |
| Zip: | 38301-3923 |
| Phone Number: | 731-541-0249 |
Patients can reach Mallory Miller Pendergrass at
620 Skyline Dr, Jackson, Tennessee or can
call to book an appointment on 731-541-6900.
Comments/ Reviews:
Patients can read all the reviews posted for Mallory Miller Pendergrass below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mallory Miller Pendergrass. 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.