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

Emma L Mallory, NP-C

Individual provider Nurse Practitioner · NPI 1013672104

Emma L Mallory, NP-C is a Nurse Practitioner in Columbia, Missouri. Qualified in 2020, 6 years ago. Practices with Boone Physician Services LLC, a 240-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2021
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1600 E Broadway
Columbia, MO 65201-5844
Phone: (573) 815-2700
Fax: (573) 815-3693
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

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2021043035 (MO)

Record details

NPI number1013672104
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedNovember 3, 2021
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address1600 E Broadway, Columbia, MO 65201-5844

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia