person
Molly Sullivan
Family Nurse Practitioner in Jackson, Mississippi
NPI 1265983316

Molly Sullivan is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Molly Sullivan practices in Jackson, MS. The NPI Number for Molly Sullivan is 1265983316 and holds a License No. 901715 (Mississippi).

The current practice location address for Molly Sullivan is 350 W Woodrow Wilson Ave, Jackson, MS and can be reached out via phone at 601-815-0157 and via fax at 601-984-5257.

Location: 350 W Woodrow Wilson Ave, Jackson, MS, 39216-4500
person
Provider Profile Details
NPI Number
1265983316
Provider Name
Molly Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
350 W Woodrow Wilson Ave, Jackson, MS, 39216-4500
Phone Number
601-815-0157
Fax Number
601-984-5257
Provider Enumeration Date
10/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04950045 05 MS
institution
Provider Business Practice Location Address Details
Address
350 W Woodrow Wilson Ave
City
State
Zip
39213-7681
Phone Number
601-815-0157
Fax Number
601-984-5257
person
Provider Business Mailing Address Details
Address
350 W Woodrow Wilson Ave
City
State
Zip
39213-7681
Phone Number
601-815-0157
Fax Number
601-984-5257
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
901715 (Mississippi)
Definition
Definition to come...
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