Mallory Elizabeth Boggs, A-GNP-C

Nurse practitioner in Richmond, Texas · NPI 1013543388

Mallory Boggs is one of 60 nurse practitioners practicing in Richmond, Texas. Mallory Boggs practices with Fountains Of Richmond LLC.

Registry record (NPPES)

NPI
1013543388
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Address on file
159 Fountains Blvd Ste B
Madison, MS 39110-6344
(601) 859-8200
Enumerated
Mar 19, 2020
Record last updated
Mar 19, 2020
License states listed
MS

Medicare (CMS)

Enrollment
Medicare-enrolled in MS, TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.