Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MALLORY MAXWELL FNP
NPI 1609797679
Nurse Practitioner in Clovis, NM

Active since July 23, 2026
912 W 21ST ST, CLOVIS, NM 88101(575) 935-9000(575) 935-1002 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mallory Maxwell Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY MAXWELL FNP (NPI 1609797679) is an individual nurse practitioner in Clovis, New Mexico, licensed in New Mexico (90737) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1609797679
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMALLORY MAXWELLCredential: FNP
Location Address912 W 21ST STClovis, NM 88101-4149
Mailing Address912 W 21st StClovis, NM 88101-4149 · (575) 935-9000 · Fax (575) 935-1002
Fax(575) 935-1002
Sole ProprietorNo
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 15, 2026
NPI 1609797679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NM · 90737
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

912 W 21ST ST, Clovis, NM 88101

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
912 W 21ST ST
CLOVIS, NM 88101
Nurse Practitioner (Family)
912 W 21ST ST
CLOVIS, NM 88101
Nurse Practitioner (Family)
912 W 21ST ST
CLOVIS, NM 88101
Nurse Practitioner (Family)
912 W 21ST ST
CLOVIS, NM 88101
Advanced Practice Midwife
912 W 21ST ST
CLOVIS, NM 88101
Nurse Practitioner (Family)
912 W 21ST ST
CLOVIS, NM 88101
Nurse Practitioner
912 W 21ST ST
CLOVIS, NM 88101
Nurse Practitioner
912 W 21ST ST
CLOVIS, NM 88101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Maxwell's NPI number?

The NPI number for Mallory Maxwell is 1609797679. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Mallory Maxwell located?

Mallory Maxwell practices at 912 W 21st St, Clovis, NM 88101. The listed phone number is (575) 935-9000.

What is Mallory Maxwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mallory Maxwell was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.