IndividualActive
Lisa Mallory, AGNP-C
NPI 1598223216 · Adult Health Nurse Practitioner · South Charleston, WV
Provider details
- NPI number
- 1598223216
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- APRN741400AGPCNP-BC (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
506 Chestnut St
South Charleston, WV 25309-1204
Phone: (304) 766-8558
Fax: (304) 766-8561
Street-level locationGet directions
Mailing address
4605 Maccorkle Ave Sw
South Charleston, WV 25309-1311
Additional practice locations (2)
- 333 Laidley StCharleston, WV 25301-1614Phone: (304) 347-6773Fax: (304) 347-6848
- 6a Bank StNitro, WV 25143-1708Phone: (304) 766-8558Fax: (304) 766-8561
Registry dates
- Enumerated
- 2019-03-12
- Last updated
- 2021-01-07
- Certified
- 2021-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.