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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAL VERNE ODEAN INNISS, MSN, APRN, ACNP-AG

Active

MAL 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 ST
CHARLESTON, SC, 294015703
Browse SC providers · Browse ZIP 29401
Phone
8435775011
Primary Specialty
Nurse Practitioner
363L00000X
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.