Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LACEY SULLIVAN, FNP-BC
ActiveMRS. LACEY SULLIVAN, FNP-BC is a Nurse Practitioner healthcare provider located in BONNE TERRE, Missouri. NPI 1174951503 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · BONNE TERRE, MO
Registration Details
- NPI Number
- 1174951503
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 22, 2013 (12.629580649226 yrs)
- Last Updated
- Sep 17, 2025
- Licenses
-
2013037701 (MO)2013037701 (MO)
Practice Information
- Address
-
7245 RAIDER RD STE CBONNE TERRE, MO, 636283767Browse MO providers · Browse ZIP 63628
- Phone
- 5733584600
- Fax
- 5733584654
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Family Nurse Practitioner
Other Nurse Practitioner Providers in BONNE TERRE, MO
| Name | Credential | NPI |
|---|---|---|
| DR. JOANN FRANKLIN | DNP,RN,FNP-BC,GNP-BC | 1609949338 |
| SHANNON OAKS | APRN | 1851771646 |
| APRIL BRANNUM | FNP-C | 1972159341 |
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.