Mallory Miller Pendergrass is a Jackson, Tennessee based nurse practitioner with 11 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.
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.