Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory Paige Sullivan, APRN

Individual provider Nurse Practitioner · NPI 1639800634

Mallory Paige Sullivan, APRN is a Nurse Practitioner in Panama City Beach, Florida. Qualified in 2022, 4 years ago. Practices with Health First Privia Medical Group, a 246-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

12234 Panama City Beach Pkwy Ste C
Panama City Beach, FL 32407-2726
Phone: (850) 233-2323
Fax: (850) 233-1055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11020277 (FL)

Record details

NPI number1639800634
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 21, 2022
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Health First Privia Medical Group — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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