Glisson, Suzanne R

Glisson, Suzanne R is an individual health care provider with primary practice located at 508 S Habana Ave Ste 335 , Tampa FL 33609-4186. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Glisson, Suzanne R can be contacted via phone (813) 872-3679.

Contact Information

Primary practice address
508 S Habana Ave Ste 335 Tampa FL 33609-4186
Phone: (813) 872-3679
Fax: (813) 350-4095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP941732 Florida

Profile Details

NPI number 1275536351
LBN Legal business name Glisson, Suzanne R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jan 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275536351 NPPES
Florida MEDICAID 306919200

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