Ethan Davis Mallory, FNP-C is a family nurse practitioner in Joplin, MO. Ethan Davis Mallory, FNP-C NPI is 1922976422. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3201 MCCLELLAND BLVD SUITE B JOPLIN, MO ZIP 64804 Phone: (417) 347-6625
The enumeration date for this NPI number is 10/27/2025 and was last updated on 10/27/2025.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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