Sullivan, Mallory Paige

Sullivan, Mallory Paige is an individual health care provider with primary practice located at 12234 Panama City Beach Pkwy Ste C , Panama City Beach FL 32407-2726. 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. Sullivan, Mallory Paige can be contacted via phone (850) 233-2323.

Contact Information

Primary practice address
12234 Panama City Beach Pkwy Ste C Panama City Beach FL 32407-2726
Phone: (850) 233-2323
Fax: (850) 233-1055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11020277 Florida

Profile Details

NPI number 1639800634
LBN Legal business name Sullivan, Mallory Paige
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2022
Last updated Aug 20th, 2024 - about 2 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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