Mallory Campbell

Primary specialty

Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X

License

58915 Issued in ID

Practice address

1713 W Jefferson St Apt 301
Boise, ID 83702-3909

Phone

(208) 914-8057

NPI assigned

Oct 2, 2026

Last updated

Oct 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1972407120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 W JEFFERSON ST APT 301",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837023909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 W JEFFERSON ST APT 301",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837023909",
            "telephone_number": "208-914-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MALLORY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "ID",
            "license": "58915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Preston Campbell, L.AC.
• Drey Van Campbell, LCSW
• Ian Campbell, DPT
• John Campbell, RN
• Joseph Campbell, PA-C
• Matthew Brent Campbell, M.D.
• Ruth K Campbell, NP
• Tami Carol Campbell, M.S. CCC-SLP
• Tamia Colette Campbell
• Walter Lawrence Campbell, PHD

• Ambulatory Women's Health Care Registered Nurse in Boise, ID
• Providers in Boise, ID by specialty
• Ambulatory Women's Health Care Registered Nurse in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.