| Mrs Mallory Pate, FNP-C | |
| 8633 Highway 22, Dresden, TN 38225-2309 | |
| (731) 364-5613 | |
| Not Available | 
| Full Name | Mrs Mallory Pate | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 8633 Highway 22, Dresden, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1033816087 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 33350 (Tennessee) | Primary | 
| Entity Name | Dyersburg Family Walk-in Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174712780 PECOS PAC ID: 5991793879 Enrollment ID: O20040501000299 | 
| Entity Name | Christian Family Medicine, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043252620 PECOS PAC ID: 7315903978 Enrollment ID: O20041206000331 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Mallory Pate, FNP-C 8633 Highway 22, Dresden, TN 38225-2309 Ph: (731) 364-5613 | Mrs Mallory Pate, FNP-C 8633 Highway 22, Dresden, TN 38225-2309 Ph: (731) 364-5613 | 
| Phyllis Ann Taylor, APNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8598 Highway 22, Dresden, TN 38225 Phone: 731-364-5675 Fax: 731-364-2870 | |
| Leslie Finch, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8598 Highway 22, Dresden, TN 38225 Phone: 731-364-5675 | |
| Mary Rebecca Wall, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 136 S Wilson St, Dresden, TN 38225 Phone: 731-364-4900 Fax: 731-352-4459 | |
| Kelly Smith Barnes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8633 Highway 22, Dresden, TN 38225 Phone: 731-364-5613 Fax: 731-599-9663 | |
| Tracie D. Rogers, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8598 Highway 22, Dresden, TN 38225 Phone: 731-341-0009 | |
| Nita Katherine Hastings, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 E. Locus St., Dresden, TN 38225 Phone: 731-364-3196 |