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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BERTHA SIEDAH SULLIVN, RN

Active

Registered Nurse · JACKSON, MS

Registration Details

NPI Number
1831729417
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2020 (6.2735162493952 yrs)
Last Updated
Jan 22, 2020
Licenses
141-222 (AL)
895742 (MS)
895742 (MS)

Practice Information

Address
635 HAMPTON WAY APT C
JACKSON, MS, 392112300
Browse MS providers · Browse ZIP 39211
Phone
6624662208
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Medical-Surgical Nurse
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in JACKSON, MS

Name Credential NPI
DEBORAH CAROL MCFADDEN CFNP 1235223884
JOANN LATHON FNP 1982771184
MRS. RACHEL LYNETTE COVINGTON RN 1356477426
MR. STEPHEN BALEY RN 1104074350
MRS. LEIGH ANN BONVILLAIN CRNA 1235376096
MRS. JANICE HUNTER DAVIS RN 1932439676
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.