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:
Health care specialties
| Specialty | Code | License # | 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 3 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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