National Provider Identifier

Mary Jo Mallory Rhodes, LPN

Mary Jo Mallory Rhodes, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Millport, NY and a listed phone number of (607) 731-7495.

NPI 1285100073Millport, NYLicensed Practical Nurse

Profile Overview

NPI
1285100073
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 18, 2018
Last Updated
October 18, 2018

Practice Location

  • 359 Lower Middle RD
  • Millport, NY 14864-9785

Phone: (607) 731-7495

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1285100073
Entity Type
Individual
Last Name
Rhodes
First Name
Mary Jo
Middle Name
Mallory
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
359 Lower Middle RD
Mailing City
Millport
Mailing State
NY
Mailing ZIP Code
14864-9785
Mailing Country
US
Mailing Phone
(607) 731-7495
Practice Street Address
359 Lower Middle RD
Practice City
Millport
Practice State
NY
Practice ZIP Code
14864-9785
Practice Country
US
Practice Phone
(607) 731-7495
Enumeration Date
October 18, 2018
Last Updated
October 18, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)