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Mallory Sussman
Family Nurse Practitioner in Tampa, Florida
NPI 1194375899

Mallory Sussman is a Family Nurse Practitioner based in Tampa, FL and is specialized in Family. Mallory Sussman practices in Tampa, FL. The NPI Number for Mallory Sussman is 1194375899 and holds a License No. APRN11004009 (Florida).

The current practice location address for Mallory Sussman is 13511 Ironton Dr, Tampa, FL and can be reached out via phone at 813-340-5322.

Location: 13511 Ironton Dr, Tampa, FL, 33626-2967
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Provider Profile Details
NPI Number
1194375899
Provider Name
Mallory Sussman
Credential
Provider Entity Type
Individual
Gender
Female
Address
13511 Ironton Dr, Tampa, FL, 33626-2967
Phone Number
813-340-5322
Fax Number
Provider Enumeration Date
09/13/2019
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
13511 Ironton Dr
City
State
Zip
33626-2967
Phone Number
813-340-5322
Fax Number
person
Provider Business Mailing Address Details
Address
13511 Ironton Dr
City
State
Zip
33626-2967
Phone Number
813-340-5322
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APRN11004009 (Florida)
Definition
Definition to come...
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