Individual
MALLORY CHRISTINE TASSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
4101 MACON POND RD, RALEIGH, NC 27607-6319
(919) 781-7070
Mailing address
62 SADDLEBROOK DR, FUQUAY VARINA, NC 27526-5076
(860) 912-5640
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
307222
NC
363L00000X
Nurse Practitioner
Primary
5015910
NC
Other
Enumeration date
03/09/2022
Last updated
04/04/2022
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