Tara Mallory
Licensed Practical Nurse • Roscommon, MI
Professional Overview & Biography Verified Profile Summary
Tara Mallory is a registered healthcare professional specializing in Licensed Practical Nurse in Roscommon, MI. Practice services are available at 5705 SEPTEMBER LN under active NPI credentials.
Practice Location & Contact Primary Location
5705 September Ln
Roscommon, MI 486538756
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Roscommon, MI
Practicing in Roscommon, MI (4550 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-01-20NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 5705 SEPTEMBER LN, ROSCOMMON, MI 486538756 (Tel: 9893250576)
Registered at 5705 SEPTEMBER LN, ROSCOMMON, MI 486538756
Recorded as TARA MALLORY
Licensed Practical Nurse (License #4703083153 in MI)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
5705 September Ln
Roscommon, MI 486538756
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