Mallori Lynn Hull, CNP PEDIATRICS

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0027345 Issued in OH

Practice address

1712 Overlook Ave
Youngstown, OH 44509-2101

Phone

(330) 423-3584

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1114676335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 OVERLOOK AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445092101",
            "telephone_number": "330-423-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 OVERLOOK AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445092101",
            "telephone_number": "330-423-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "MALLORI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CNP PEDIATRICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "0027345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyrone Labaron Hughes
• Kimberly Louise Hughley
• Victoria Nicole Hughley
• Da'Veon Hugley
• Larisa Katherine Hull, BA
• Steven Joseph Humansky, PA-C
• Alisa Humbert
• Elliot Donnell Humbert
• George E Humes
• Roshawnda Rochelle Humphrey

• Pediatric Nurse Practitioner in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.