Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Suzanne Korum, ARNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1093149569

Mrs. Suzanne Korum, ARNP-BC is a Nurse Practitioner in Palm Coast, Florida. Qualified in 2013, 13 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Licensed in
FL
In the registry since
2013
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Practice location Address checks out

20 Cypress Point Pkwy Ste A
Palm Coast, FL 32164-7528
Phone: (386) 586-7005
Fax: (844) 867-3940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence ARNP1853762 (FL)

Record details

NPI number1093149569
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP-BC
Sole proprietorYes
NPI enumeratedSeptember 2, 2013
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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