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

Mrs. Mallory Elyse Mowdy, NP-C

Individual provider Family Nurse Practitioner · NPI 1427458553

Mrs. Mallory Elyse Mowdy, NP-C is a Nurse Practitioner in Brookhaven, Mississippi. Qualified in 2014, 12 years ago. Practices with Extended Care Clinical Services, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2014
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

724 N Jackson St
Brookhaven, MS 39601-2460
Phone: (601) 833-5255
Fax: (601) 843-0252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R877141 (MS)

Record details

NPI number1427458553
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 26, 2014
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Extended Care Clinical Services, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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