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:

Map and Directions

Health care specialties

Specialty	Code	License #	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

State	Type	Number	Issuer
All States	NPI	1275536351	NPPES
Florida	MEDICAID	306919200

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