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 NumberSpecializationStateStatus
903821Primary Care MississippiPrimary
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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.