person
Mrs. Mallory Elyse Mowdy, NP-C
Family Nurse Practitioner in Brookhaven, Mississippi
NPI 1427458553

Mallory Elyse Mowdy is a Family Nurse Practitioner based in Brookhaven, MS and is specialized in Family. Mallory Elyse Mowdy practices in Brookhaven, MS and has the professional credentials of NP-C. The NPI Number for Mallory Elyse Mowdy is 1427458553 and holds a License No. R877141 (Mississippi).

The current practice location address for Mallory Elyse Mowdy is 724 N Jackson St, Brookhaven, MS and can be reached out via phone at 601-833-5255 and via fax at 601-843-0252.

Location: 724 N Jackson St, Brookhaven, MS, 39601-2460
person
Provider Profile Details
NPI Number
1427458553
Provider Name
Mallory Elyse Mowdy
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
724 N Jackson St, Brookhaven, MS, 39601-2460
Phone Number
601-833-5255
Fax Number
601-843-0252
Provider Enumeration Date
08/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02337065 05 MS
1427458553 01 MS BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
724 N Jackson St
City
State
Zip
39601-2460
Phone Number
601-833-5255
Fax Number
601-843-0252
person
Provider Business Mailing Address Details
Address
724 N Jackson St
City
State
Zip
39601-2460
Phone Number
601-833-5255
Fax Number
601-843-0252
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R877141 (Mississippi)
Definition
Definition to come...
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