Mallory Maxwell, FNP
Nurse Practitioner · Clovis, NM
Practice location
912 W 21st StClovis, NM 88101-4149
- Phone
- (575) 935-9000
- Fax
- (575) 935-1002
NPI record
- NPI
- 1609797679
- Entity type
- Individual (Type 1)
- Enumeration date
- July 23, 2026
- Last updated
- July 23, 2026
- Certified
- July 15, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
90737 | NM |
About Mallory Maxwell
Mallory Maxwell, FNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 912 W 21st St, Clovis, NM 88101-4149. The NPI number 1609797679 was assigned on July 23, 2026 and the record was last updated on July 23, 2026.
Mallory Maxwell lists a license in the registry: #90737 (NM) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mallory Maxwell, FNP?
The NPI number is 1609797679.
What is the phone number of Mallory Maxwell?
The phone number listed for the practice location is (575) 935-9000.
Where is Mallory Maxwell located?
912 W 21st St, Clovis, NM 88101-4149.
What is the taxonomy code for Mallory Maxwell?
The primary taxonomy code is 363L00000X – Nurse Practitioner.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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