Individual provider · Type 1 NPI

Mal Verne Odean Inniss, MSN, APRN, ACNP-AG

Nurse Practitioner · Charleston, SC

NPI number 1851087019 Active

Practice location

109 Bee St
Charleston, SC 29401-5703

Call (843) 577-5011 Map

Mailing address

112 Long Needle Ln
Summerville, SC 29485-4943

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X27119 (SC)
Critical Care Medicine Nurse Practitioner 363LC0200X27119 (SC)
Nurse Practitioner Primary 363L00000X27119 (SC)

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 1851087019

Mal Verne Odean Inniss, MSN, APRN, ACNP-AG's National Provider Identifier is 1851087019, issued on Apr 12, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, SC. The record was last updated on Apr 18, 2023.