Boggs, Mallory Elizabeth

Boggs, Mallory Elizabeth is an individual health care provider with primary practice located at 159 Fountains Blvd Ste B , Madison MS 39110-6344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Boggs, Mallory Elizabeth can be contacted via phone (601) 859-8200.

Contact Information

Primary practice address
159 Fountains Blvd Ste B Madison MS 39110-6344
Phone: (601) 859-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 903821 Mississippi

Profile Details

NPI number 1013543388
LBN Legal business name Boggs, Mallory Elizabeth
Credentials A-GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2020
Last updated Mar 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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