Mallory Elizabeth Boggs, A-GNP-C
Mallory Elizabeth Boggs, A-GNP-C is a Nurse Practitioner in Madison, Mississippi. Qualified in 2017, 9 years ago. Practices with Fountains of Richmond LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 9
- Licensed in
- MS
- In the registry since
- 2020
Practice location Address checks out
159 Fountains Blvd Ste BMadison, MS 39110-6344
Phone: (601) 859-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 903821 (MS) |
|---|
Record details
| NPI number | 1013543388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | A-GNP-C |
| Sole proprietor | No |
| NPI enumerated | March 19, 2020 |
| Last updated in NPPES | March 19, 2020 |
| Certification date | March 19, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Fountains Of Richmond Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Madison
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Virginia Lea Powell, NP
115 Aulenbrock Dr #100-B, Madison, MS 39110 · (601) 624-1082