Individual
EMMA L MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-2700
(573) 815-3693
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-2700
(573) 815-3693
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021043035
MO
Other
Enumeration date
11/03/2021
Last updated
08/09/2022
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