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Individual

MALLORY ALEXIS DUSHANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, APRN, NP

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
941 WOODLAND TRL SE, SMYRNA, GA 30080-1535

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN294902
GA
363L00000X
Nurse Practitioner
Primary
APRN-NP294902
GA
363LA2100X
Acute Care Nurse Practitioner
NP294902
GA
363LG0600X
Gerontology Nurse Practitioner
NP294902
GA

Other

Enumeration date
05/26/2026
Last updated
08/06/2026
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