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Alicia Kim Sullivan, NP
Nurse Practitioner in Edwardsville, Illinois
NPI 1477158905

Alicia Kim Sullivan is a Nurse Practitioner based in Edwardsville, IL. Alicia Kim Sullivan practices in Edwardsville, IL and has the professional credentials of NP. The NPI Number for Alicia Kim Sullivan is 1477158905 and holds a License No. 2093022275 (Illinois).

The current practice location address for Alicia Kim Sullivan is 441 S State Route 157 Ste 102, Edwardsville, IL and can be reached out via phone at 618-254-2273 and via fax at 618-254-8476.

Location: 441 S State Route 157 Ste 102, Edwardsville, IL, 62025-4017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477158905
Provider Name
Alicia Kim Sullivan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
441 S State Route 157 Ste 102, Edwardsville, IL, 62025-4017
Phone Number
618-254-2273
Fax Number
618-254-8476
Provider Enumeration Date
12/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
441 S State Route 157 Ste 102
City
Edwardsville
State
Illinois
Zip
62025-4017
Phone Number
618-254-2273
Fax Number
618-254-8476
person
Provider Business Mailing Address Details
Address
441 S State Route 157 Ste 102
City
Edwardsville
State
Illinois
Zip
62025-4017
Phone Number
618-254-2273
Fax Number
618-254-8476
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2093022275 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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