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NPI Code Detail

MEDICARE: MALLORY OLIVER HOOPINGARNER RN

MEDICARE: MALLORY OLIVER HOOPINGARNER RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN150315LA

General Provider Information

NPI Number : 1780542431
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALLORY OLIVER HOOPINGARNER RN
Provider Business Mailing Address
First Line : PO BOX 38150
Second Line :
City : SHREVEPORT
State : LA
Zip : 71133-8150
Country : US
Telephone Number : 318-631-9121
Fax Number : 318-549-0240
Provider Business Practice Location Address
First Line : 2400 HOSPITAL DR STE 370
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-2391
Country : US
Telephone Number : 318-631-9121
Fax Number : 318-549-0240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ MALLORY OLIVER HOOPINGARNER RN” Practice Location

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