IndividualActive
Lisa Mallard, ARNP, CNM
NPI 1891847869 · Advanced Practice Midwife · Lexington, KY
Provider details
- NPI number
- 1891847869
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP, CNM
- Sex
- Female
- Sole proprietor
- No
- License
- ARNP 2157582 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
170 N Eagle Creek Dr Ste 104
Lexington, KY 40509-9087
Phone: (859) 967-5848
Fax: (859) 967-5473
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 936
London, KY 40743-0936
Additional practice locations (2)
- 501 Nw Lake Whitney PlSuite 106Port Saint Lucie, FL 34986-1615Phone: (772) 785-8000Fax: (772) 785-8150
- 100 Brewster BlvdCamp Lejeune, NC 28547Phone: (910) 449-2741
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2022-12-14
- Certified
- 2022-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.