| Doctor Name: | MRS. SUELLEN N MALONE |
| NPI Number: | 1407980154 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 71000616 |
| Business Practice Address: | 109 Us Highway 66 E Tell City, IN - 475862755 |
| Business Phone Number: | 8125473447 |
| Business Fax Number: | |
| Mailing Address: | 1019 Washington St, TELL CITY |
| State: | IN |
| Postal Code: | 475861847 |
| Phone Number: | 8125476607 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 12/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71000616 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |