Provider Demographics
NPI:1811385800
Name:MALLARD, APRIL M (NP)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:M
Last Name:MALLARD
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:NICOLE
Other - Last Name:MOYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:16 FALLOWFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-6420
Mailing Address - Country:US
Mailing Address - Phone:912-272-6730
Mailing Address - Fax:
Practice Address - Street 1:4750 WATERS AVE
Practice Address - Street 2:#206
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6200
Practice Address - Country:US
Practice Address - Phone:912-350-5915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-30
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN180971163WN0002X, 363LN0000X
VT101-0135482363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care