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

Mallory Quinn De Boom, PA

Individual provider Medical Physician Assistant · NPI 1801540646

Mallory Quinn De Boom, PA is a Physician Assistant in Germantown, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2021, 5 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2004 Exeter Rd
Germantown, TN 38138-3945
Phone: (901) 664-2111
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

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4931 (TN)
Medical Physician Assistant Taxonomy 363AM0700X (TN)

Record details

NPI number1801540646
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 10, 2022
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Germantown