Healthcare Provider Details

I. General information

NPI: 1336677608
Provider Name (Legal Business Name): MALLORY HOFF-JONES FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2017
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MATTHEW ST STE 101
MARIETTA OH
45750-1656
US

IV. Provider business mailing address

103 GLEN EAGLE DR
MARIETTA OH
45750-8066
US

V. Phone/Fax

Practice location:
  • Phone: 740-568-4150
  • Fax: 740-568-4151
Mailing address:
  • Phone: 740-350-9127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.021026
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.021026
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: