Individual provider · Type 1 NPI

Mallory Alexis Dushane, RN, APRN, NP

Nurse Practitioner · Atlanta, GA

NPI number 1700717162 Active

Practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Mailing address

941 Woodland Trl SE
Smyrna, GA 30080-1535

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN-NP294902 (GA)
Gerontology Nurse Practitioner 363LG0600XNP294902 (GA)
Acute Care Nurse Practitioner 363LA2100XNP294902 (GA)

Nurse Practitioner: (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 wit…

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About NPI 1700717162

Mallory Alexis Dushane, RN, APRN, NP's National Provider Identifier is 1700717162, issued on May 26, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 6, 2026.