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Mrs. Claudette M Mallory, APRN
Family Nurse Practitioner in Macclenny, Florida
NPI 1679547442

Claudette M Mallory is a Family Nurse Practitioner based in Macclenny, FL and is specialized in Family. Claudette M Mallory practices in Macclenny, FL and has the professional credentials of APRN. The NPI Number for Claudette M Mallory is 1679547442 and holds a License No. APRN3174462 (Florida).

The current practice location address for Claudette M Mallory is 92 W Lowder St, Macclenny, FL and can be reached out via phone at 904-259-0092 and via fax at 904-259-0094.

Location: 92 W Lowder St, Macclenny, FL, 32063-2676
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679547442
Provider Name
Claudette M Mallory
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
92 W Lowder St, Macclenny, FL, 32063-2676
Phone Number
904-259-0092
Fax Number
904-259-0094
Provider Enumeration Date
02/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
770015600 05 FL
institution
Provider Business Practice Location Address Details
Address
92 W Lowder St
City
Macclenny
State
Florida
Zip
32063-2676
Phone Number
904-259-0092
Fax Number
904-259-0094
person
Provider Business Mailing Address Details
Address
92 W Lowder St
City
Macclenny
State
Florida
Zip
32063-2676
Phone Number
904-259-0092
Fax Number
904-259-0094
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN3174462 (Florida)
Definition
Definition to come...
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