Individual provider · NPI-1

Susan Marie Affleck, FNP-C

Nurse Practitioner · Fort Benning, GA

NPI number1316219587
StatusActive
Last updated in NPPESJul 17, 2025

Details

NPI
1316219587
Entity type
Individual (NPI-1)
Name
Susan Marie Affleck
Credential
FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Feb 3, 2012
Certification date
Jul 17, 2025
Last updated
Jul 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerRN099501GAYes

Practice location

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102

Phone 762-408-2242

Mailing address

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102

Phone 762-408-2242

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