Tucker, Mallory Paige

Tucker, Mallory Paige is an individual health care provider with primary practice located at 1401 Centerville Rd Ste G02 , Tallahassee FL 32308-4638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Tucker, Mallory Paige can be contacted via phone (850) 431-2100.

Contact Information

Primary practice address
1401 Centerville Rd Ste G02 Tallahassee FL 32308-4638
Phone: (850) 431-2100
Fax: (850) 431-2199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9106576 Florida

Profile Details

NPI number 1861751349
LBN Legal business name Tucker, Mallory Paige
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2012
Last updated Jun 14th, 2022 - about 4 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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