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Amy Sullivan
Family Nurse Practitioner in Cabot, Arkansas
NPI 1053735639

Amy Sullivan is a Family Nurse Practitioner based in Augusta, AR and is specialized in Family. Amy Sullivan practices in Cabot, AR. The NPI Number for Amy Sullivan is 1053735639 and holds a License No. A004030 (Arkansas).

The current practice location address for Amy Sullivan is 5830 Highway 5, Cabot, AR and can be reached out via phone at 501-941-1376 and via fax at 870-569-3594.

Location: 5830 Highway 5, Cabot, AR, 72006-2309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053735639
Provider Name
Amy Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
5830 Highway 5, Cabot, AR, 72006-2309
Phone Number
501-941-1376
Fax Number
870-569-3594
Provider Enumeration Date
02/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201310758 05 AR
institution
Provider Business Practice Location Address Details
Address
5830 Highway 5
City
Cabot
State
Arkansas
Zip
72023-7328
Phone Number
501-941-1376
Fax Number
870-569-3594
person
Provider Business Mailing Address Details
Address
5830 Highway 5
City
Cabot
State
Arkansas
Zip
72023-7328
Phone Number
501-941-1376
Fax Number
870-569-3594
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
A004030 (Arkansas)
Definition
Definition to come...
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