Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katina Mallory

Individual provider Registered Nurse · NPI 1215582663

Katina Mallory is a Registered Nurse in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

621 Russell Dr
Daytona Beach, FL 32114-5141
Phone: (386) 871-7368
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN9180804 (FL)

Record details

NPI number1215582663
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2019
Last updated in NPPESAugust 2, 2019

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