Mallory Elizabeth Boggs
A-GNP-C | Nurse Practitioner - Primary Care | 8+ years Exp
159 Fountains Blvd Ste B, Madison
Mississippi, 39110-6344
601-859-8200
Accepts Medicare Nurse Anesthetist in Madison, Mississippi.Mallory Elizabeth Boggs is a Madison, Mississippi based nurse practitioner with 8 years of experience in Primary Care. She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mallory Elizabeth Boggs is 903821 for Primary Care in Mississippi. Her current practice location is 159 Fountains Blvd Ste B, Madison. Patients can reach her at 601-859-8200. Mallory Elizabeth Boggs is A-GNP-C with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1013543388.
Mallory Elizabeth Boggs is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Mallory Elizabeth Boggs speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mallory Elizabeth Boggs |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Female |
| Credentials: | A-GNP-C |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 159 Fountains Blvd Ste B, Madison, Mississippi, 39110-6344 |
| Phone: | 601-859-8200 |
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.
| PAC ID: | 3678903630 |
| Enrollment ID: | I20200415003094 |
| NPI Number: | 1013543388 |
| NPI Enumeration Date: | 19 Mar, 2020 |
| NPI Last Update On: | 19 Mar, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mallory Elizabeth Boggs are as mentioned below.
| License Number | Specialization | State | Status | |
| 903821 | Primary Care | Mississippi | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mallory Elizabeth Boggs is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Fountains Infusion Center Llc (7719217595) | 2 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mallory Elizabeth Boggs 115 Blackstone Cir, Brandon, Mississippi |
| Zip: | 39047-8808 |
| Phone Number: | 601-720-9845 |
Patients can reach Mallory Elizabeth Boggs at
159 Fountains Blvd Ste B, Madison, Mississippi or can
call to book an appointment on 601-859-8200.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.