IndividualActive
Jennifer Mallory
NPI 1124721758 · Registered Nurse · Detroit, MI
Jennifer Mallory is a Registered Nurse provider in Detroit, MI (NPI 1124721758).
Provider details
- NPI number
- 1124721758
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704223647 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-4436
Street-level locationGet directions
Mailing address
4646 John R St
Detroit, MI 48201-1916
Registry dates
- Enumerated
- 2023-03-23
- Last updated
- 2023-03-23
- Certified
- 2023-03-23
Frequently asked questions
- What is Jennifer Mallory's NPI number?
- Jennifer Mallory's National Provider Identifier (NPI) is 1124721758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Mallory's specialty?
- Jennifer Mallory is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Jennifer Mallory located?
- Jennifer Mallory's practice location on file with NPPES is 4646 John R St, Detroit, MI 48201-1916.
- What is Jennifer Mallory's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Mallory is (313) 576-4436.
- Is Jennifer Mallory's NPI active?
- Yes — Jennifer Mallory's NPI (1124721758) is active in the NPPES registry as of the last update on 2023-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.