MALLORY PAIGE TUCKER


Address: 2452 Mahan Dr, Suite 101, Tallahassee, FL 32308-5373
Phone: 8508772126

MALLORY PAIGE TUCKER (NPI# 1861751349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861751349
Entity Type Individual
Full Name MALLORY PAIGE TUCKER
Credential PA-C
Practice Address 2452 Mahan Dr
Suite 101
Tallahassee
FL 32308-5373
Mailing Address 3452 Mahan Drive
Sutie 101
Tallahassee
FL 32308-0000
Practice Telephone 8508772126
Practice Fax Number 8508785190
Mailing Telephone 8508772126
Mailing Fax Number 8508775190
Enumeration Date 2012-05-03
Last Update Date 2013-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9106576 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers MALLORY TUCKER

NPI Name Taxonomy Address Enumeration
1194369850 Mallory Tucker Behavior Technician 7328 Arbor Trl Apt 201, Waterford, MI 48327-4501 2019-11-05
1790039592 Mallory Tucker Dentist 1114 Dolores St, San Francisco, CA 94110-3613 2012-10-31
1023621794 Mallory Keck Tucker Pharmacist 102 E Broadway, Newport, TN 37821-2323 2020-08-24
1376980482 Mallory Conway Tucker Nurse Practitioner 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 2013-05-30

Office Location

Street Address 2452 MAHAN DR
SUITE 101
City TALLAHASSEE
State FL
Zip Code 32308-5373

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861474132 Jeffrey M Rawlings Plastic Surgery 2452 Mahan Dr, Suite 101, Tallahassee, FL 32308-5373 2005-11-14
1720347438 Toni Piper Registered Nurse 2452 Mahan Dr, Suite 101, Tallahassee, FL 32308-5373 2012-05-15
1326181314 Alamarcon Holdings, LLC Clinic/Center 2452 Mahan Dr, Suite 102, Tallahassee, FL 32308 2007-02-15
1366557696 Jayne H Mittan Physician Assistant 2452 Mahan Dr, Suite 101, Tallahassee, FL 32308-5377 2006-08-19
1710951967 H. Louis Hill Jr. Plastic Surgery 2452 Mahan Dr, Suite 101, Tallahassee, FL 32308-5377 2006-02-15
1982678132 Alfredo A Paredes Jr. Plastic Surgery 2452 Mahan Dr, Suite 101, Tallahassee, FL 32308-5377 2006-02-15
1548234057 Larry L Harper Plastic Surgery 2452 Mahan Dr, Suite 101, Tallahassee, FL 32308-5377 2006-02-14
1043284474 Hill, Harper and Paredes, Pa Plastic Surgery 2452 Mahan Dr, Suite 101, Tallahassee, FL 32308-5377 2006-02-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215588306 Jmc Tallahassee, LLC Preventive Medicine 1838 Jacliff Court, Tallahassee, FL 32308 2019-09-20
1972165108 Covenant Home Health Care, LLC Home Health 1921 Capital Circle Ne, Tallahassee, FL 32308 2019-07-09
1548735798 North Florida Rehab Solutions Hospitalist 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 2018-10-03
1013491596 Injury and Rehab Centers of North Florida, LLC Neuromusculoskeletal Medicine & OMM 2268 Wednesday Street, Tallahassee, Florida, FL 32308 2018-09-20
1487133625 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 2018-08-08
1629566724 Total Health & Wellness Home Care, LLC Home Health 1325 Mahan Dr., Tallahassee, FL 32308 2018-04-25
1669979480 Beth North, Lcsw, LLC Social Worker 1325 Mahan Drive, Tallahassee, FL 32308 2018-04-09
1750885919 Robert E Ashmore Jr Md Obstetrics & Gynecology 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 2018-03-22
1225547243 William Michael Kunkle Physician Assistant 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 2017-09-21
1235657834 Traci R Raybon Occupational Therapist 1924 Hidden Valley, Tallahassee, FL 32308 2017-09-03
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396306106 Max Hyunmin Oh Physician Assistant 2631 Centennial Blvd Ste 100, Tallahassee, FL 32308-0591 2019-06-23
1245575935 Sharon Sanford Banasiewicz Physician Assistant 2452 Mahan Dr Ste 101, Tallahassee, FL 32308-5377 2012-12-06
1679838734 Andrew R Perrin Physician Assistant 1300 Medical Dr, Tallahassee, FL 32308-4646 2012-07-05
1366557696 Jayne H Mittan Physician Assistant 2452 Mahan Dr, Suite 101, Tallahassee, FL 32308-5377 2006-08-19
1831109412 Mark L Marcewicz Physician Assistant 1911 Miccosukee Rd, Tallahassee, FL 32308-5321 2006-08-08
1992750038 David Widlund Brown Physician Assistant 1405 Centerville Rd, Suite 5000, Tallahassee, FL 32308-4655 2006-05-24
1851364442 Scott L Krueger Physician Assistant 3334 Capital Medical Blvd, Suite 400, Tallahassee, FL 32308-8405 2006-02-13

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NPI Name Taxonomy Address Enumeration
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1427657055 Alyson Ryall Physician Assistant 480 Ventura Pl, Vero Beach, FL 32963-4262 2020-10-24
1104436476 Forrest Joseph Steslow Physician Assistant 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 2020-08-03
1063039576 Joshua Bras Prewitt Physician Assistant 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 2020-06-30
1003443904 Sheila Rhinehart Physician Assistant 981 Tarpon Ave, Sebastian, FL 32958-5147 2020-03-23
1952932493 Lisel Spieler Physician Assistant 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 2020-02-03
1326685991 Nikolai X Lincavage Physician Assistant 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 2019-12-03
1356984686 Zane K Jude Physician Assistant 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 2019-10-18
1720635998 Jose R Munoz Physician Assistant 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 2019-08-22
1811559578 Sydney Gillen Physician Assistant 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 2019-07-02
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Competitor

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City TALLAHASSEE
Zip Code 32308

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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