person
Ms. Jerry Sullivan, CFNP
Family Nurse Practitioner in Woodland, Mississippi
NPI 1457409807

Jerry Sullivan is a Family Nurse Practitioner based in Woodland, MS and is specialized in Family. Jerry Sullivan practices in Woodland, MS and has the professional credentials of CFNP. The NPI Number for Jerry Sullivan is 1457409807 and holds a License No. R739537 (Mississippi).

The current practice location address for Jerry Sullivan is 120 Market Street, Woodland, MS and can be reached out via phone at 662-456-0111 and via fax at 662-456-7335.

Location: 120 Market Street, Woodland, MS, 39776
person
Provider Profile Details
NPI Number
1457409807
Provider Name
Jerry Sullivan
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
120 Market Street, Woodland, MS, 39776
Phone Number
662-456-0111
Fax Number
662-456-7335
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0114346 05 MS
institution
Provider Business Practice Location Address Details
Address
120 Market Street
City
State
Zip
39776
Phone Number
662-456-0111
Fax Number
662-456-7335
person
Provider Business Mailing Address Details
Address
120 Market Street
City
State
Zip
39776
Phone Number
662-456-0111
Fax Number
662-456-7335
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R739537 (Mississippi)
Definition
Definition to come...
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