Mallory Lynn Park, MSN, CRNP, FNP-C
Mallory Lynn Park, MSN, CRNP, FNP-C is a Nurse Practitioner in Ridgway, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Dubois Regional Medical Center, a 422-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 3
- Licensed in
- PA
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- MSN — Master of Science in Nursing
- A graduate nursing degree, usually held alongside an advanced practice licence.
- CRNP — Certified Registered Nurse Practitioner
- The title Pennsylvania and some other states use for a nurse practitioner.
- FNP-C — Family Nurse Practitioner, Certified
- A family nurse practitioner certified by the AANP.
Practice location Address checks out
250 W Main StRidgway, PA 15853-1611
Phone: (814) 772-8122
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence SP030067 (PA) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence SP030067 (PA) |
Record details
| NPI number | 1114755345 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSN , CRNP , FNP-C |
| Sole proprietor | No |
| NPI enumerated | July 22, 2024 |
| Last updated in NPPES | July 22, 2024 |
| Certification date | July 8, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Dubois Regional Medical Center — 422 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 18 |
| Average patient age | 74 |
Payments from drug and device companies, 2025
| Food and Beverage | $160 |
|---|
Practises at
- Penn Highlands Dubois Hospital · Dubois, PA
- Penn Highlands Elk Hospital · Saint Marys, PA
Colleagues at Dubois Regional Medical Center
- Mr. Jehan R Barbat, MD Diagnostic Radiology Physician · Garden City, MI
- Dr. Jonathan David Cannella, MD Anatomic Pathology & Clinical Pathology Physician · Du Bois, PA
- Vishnu Ganta, MD Anatomic Pathology & Clinical Pathology Physician · Charlottesville, VA
- Luke Michael Haskins, PA-C Physician Assistant · Dubois, PA
- Dr. Patrick Andre Jeanmenne, MD Diagnostic Radiology Physician · Boston, MA
- Dr. Brian Frederick Kho, MD Emergency Medicine Physician · Atlanta, GA
- Dora Blair Nelson, PA-C Physician Assistant · Saint Marys, PA
- Nicole Rae Orr, PA-C Physician Assistant · Punxsutawney, PA
- James P Pacelli Jr., MD Neurology Physician · Du Bois, PA
- Benny Y Wang, MD Anesthesiology Physician · State College, PA
- Sarah Gwen Whiteman Family Nurse Practitioner · Du Bois, PA
- Dr. Jessie W Zhang, MD Psychiatry Physician · Du Bois, PA
Other providers in Ridgway
-
Dubois Regional Medical Center
250 W Main St, Ridgway, PA 15853-1611 · (814) 371-2100
-
Elk Regional Professional Group, Inc
104 Metoxet St, Ridgway, PA 15853-1932 · (814) 788-5456
-
Fernan Family Practice
200 S Mill St, Ridgway, PA 15853 · (814) 772-0722
-
Kathleen M Fernan, DO
200 S Mill St, Ridgway, PA 15853 · (814) 772-0722