Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JERRY SULLIVAN, CFNP
Active Sole ProprietorMS. JERRY SULLIVAN, CFNP is a Family Nurse Practitioner healthcare provider located in WOODLAND, Mississippi. NPI 1457409807 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · WOODLAND, MS
Registration Details
- NPI Number
- 1457409807
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 8, 2007 (19.598824037826 yrs)
- Last Updated
- Feb 17, 2011
- License
-
R739537 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 MARKET STREETWOODLAND, MS, 39776Browse MS providers · Browse ZIP 39776
- Phone
- 6624560111
- Fax
- 6624567335
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
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.