Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAMECKA SULLIVAN, PMHNP
ActiveSHAMECKA SULLIVAN, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in FAIRDALE, Kentucky. NPI 1023840717 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · FAIRDALE, KY
Registration Details
- NPI Number
- 1023840717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 20, 2024 (2.0001030662222 yrs)
- Last Updated
- Mar 7, 2025
- License
-
4024554 (KY)
Practice Information
- Address
-
1000 NEIGHBORHOOD PLFAIRDALE, KY, 401189697Browse KY providers · Browse ZIP 40118
- Phone
- 5023612381
- Fax
- 5029968309
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
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.