Search › Missouri › 363LF0000X
Ethan Mallory, FNP-C
NPI 1922976422 · on the registry since 2025
Practice
- Address
- 3201 Mcclelland Blvd
Suite B
Joplin, MO 64804 - Phone
- (417) 347-6625
- Organisation at this address
- Stones Corner Pharmacy, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri