Individual provider · Type 1 NPI
Mallory Sussman
Family Nurse Practitioner · Tampa, FL
NPI number
1194375899
Active
Practice location
13511 Ironton Dr
Tampa, FL 33626-2967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN11004009 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194375899
Mallory Sussman's National Provider Identifier is 1194375899, issued on Sep 13, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tampa, FL. The record was last updated on Mar 25, 2024.