Individual provider · Type 1 NPI

Mallory Breanna Sullivan

Acute Care Nurse Practitioner · Atlanta, GA

NPI number 1124663331 Active

Practice location

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050

Call (404) 616-1000 Map

Mailing address

2222 E West Connector Apt 121
Austell, GA 30106-8189

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	RN289418 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1124663331

Mallory Breanna Sullivan's National Provider Identifier is 1124663331, issued on Nov 12, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Atlanta, GA. The record was last updated on Nov 11, 2022.