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Mallory Quinn De Boom, PA
Physician Assistant in Memphis, Tennessee
NPI 1801540646

Mallory Quinn De Boom is a Physician Assistant based in Memphis, TN. Mallory Quinn De Boom practices in Memphis, TN and has the professional credentials of PA. The NPI Number for Mallory Quinn De Boom is 1801540646 and holds a License No. (Tennessee).

The current practice location address for Mallory Quinn De Boom is 1211 Union Ave Ste 495, Memphis, TN and can be reached out via phone at 901-507-6600 and via fax at 901-507-6599.

Location: 1211 Union Ave Ste 495, Memphis, TN, 38101-2044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801540646
Provider Name
Mallory Quinn De Boom
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1211 Union Ave Ste 495, Memphis, TN, 38101-2044
Phone Number
901-507-6600
Fax Number
901-507-6599
Provider Enumeration Date
02/10/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1191302 01 TN NCCPA CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
1211 Union Ave Ste 495
City
Memphis
State
Tennessee
Zip
38104-6656
Phone Number
901-507-6600
Fax Number
901-507-6599
person
Provider Business Mailing Address Details
Address
1211 Union Ave Ste 495
City
Memphis
State
Tennessee
Zip
38104-6656
Phone Number
901-507-6600
Fax Number
901-507-6599
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
4931 (Tennessee)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
(Tennessee)
Definition
Definition to come...
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