Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAL VERNE ODEAN INNISS, MSN, APRN, ACNP-AG
ActiveMAL VERNE ODEAN INNISS, MSN, APRN, ACNP-AG is a Nurse Practitioner healthcare provider located in CHARLESTON, South Carolina. NPI 1851087019 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · CHARLESTON, SC
Registration Details
- NPI Number
- 1851087019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2023 (3.153297926879 yrs)
- Last Updated
- Apr 18, 2023
- Licenses
-
27119 (SC)27119 (SC)27119 (SC)
Practice Information
- Address
-
109 BEE STCHARLESTON, SC, 294015703Browse SC providers · Browse ZIP 29401
- Phone
- 8435775011
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Critical Care Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in CHARLESTON, SC
| Name | Credential | NPI |
|---|---|---|
| MARY ELISHEVA WILCHANOVSKY | APRN, WHNP | 1164423695 |
| KELLI MARIE GARBER | CRNP | 1215922166 |
| MRS. CATHERINE O'CONNOR DURHAM | FNP | 1417932104 |
| RANDI JO HOFFMANN | R.N. | 1265419857 |
| MRS. TINA M. DVOREN-BAKER | N.P. | 1336100254 |
| DENISE A. BRADSHAW | FNP-BC | 1760449649 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.