Mallory Rich Shatlock
NURSE PRACTITIONER | Nurse Practitioner - Acute Care | 5+ years Exp
190 Kimel Park Dr Ste 155, Winston Salem
North Carolina, 27103-6946
336-765-6637
Mallory Rich Shatlock is a Winston Salem, North Carolina based nurse practitioner with 5 years of experience in Acute Care. She completed her graduation in 2020. 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 Rich Shatlock is 5021115 in North Carolina. Her current practice location is 190 Kimel Park Dr Ste 155, Winston Salem. Patients can reach her at 336-765-6637 or can fax her at 336-765-6964. Mallory Rich Shatlock is NURSE PRACTITIONER with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1548728249.
Mallory Rich Shatlock 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 Rich Shatlock 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 Rich Shatlock |
| Specialization: | Acute Care Nurse Practitioner (ACNP) |
| Gender: | Female |
| Credentials: | NURSE PRACTITIONER |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 190 Kimel Park Dr Ste 155, Winston Salem,
North Carolina, 27103-6946 |
| Phone: | 336-765-6637 |
| Fax: | 336-765-6964 |
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: | 6507276284 |
| Enrollment ID: | I20201109001751 |
| NPI Number: | 1548728249 |
| NPI Enumeration Date: | 12 Mar, 2019 |
| NPI Last Update On: | 30 Dec, 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 Rich Shatlock are as mentioned below.
| License Number | Specialization | State | Status | |
| 5021115 | | North Carolina | Primary | |
| 1-159191 | Acute Care | Alabama | Secondary | |
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 |
| (010104) | Birmingham, AL | 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 Rich Shatlock is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Norwood Clinic Inc (8921996364) | 51 |
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 Rich Shatlock
Po Box 60447,
Charlotte, North Carolina |
| Zip: | 28260-0447 |
| Phone Number: | 336-765-6637 |
| Fax Number: | 336-765-6964 |
Patients can reach Mallory Rich Shatlock at
190 Kimel Park Dr Ste 155, Winston Salem, North Carolina or can
call to book an appointment on 336-765-6637.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.