Ethan Davis Mallory

FNP-C | Nurse Practitioner - Family

3201 Mcclelland Blvd, Suite B, Joplin
  Missouri, 64804
417-347-6625
May or may not accept Medicare Nurse Anesthetist in Joplin, Missouri.
Ethan Davis Mallory is a Joplin, Missouri based nurse practitioner who is specialized as Family nurse. Active license number of Ethan Davis Mallory is 2025036708 for Family in Missouri. His current practice location is 3201 Mcclelland Blvd, Suite B, Joplin. Patients can reach him at 417-347-6625. Ethan Davis Mallory is FNP-C with specialization in Family and his NPI number (Unique professional ID assigned by NPPES) is 1922976422.
Ethan Davis Mallory delivers family-focused care which means he provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Ethan Davis Mallory speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Ethan Davis Mallory
Specialization: Family Nurse Practitioner (FNP)
Gender:Male
Credentials: FNP-C
Practice Address:3201 Mcclelland Blvd, Suite B, Joplin,
Missouri, 64804
Phone:417-347-6625
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1922976422
NPI Enumeration Date: 27 Oct, 2025
NPI Last Update On: 27 Oct, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan Davis Mallory are as mentioned below.
License NumberSpecializationStateStatus
2025036708Family MissouriPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ethan Davis Mallory
3708 Chelsea,
Webb City, Missouri
Zip: 64870-9572
Phone Number: 417-483-2014
Patients can reach Ethan Davis Mallory at 3201 Mcclelland Blvd, Suite B, Joplin, Missouri or can call to book an appointment on 417-347-6625.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.