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Samantha Jade Sullivan, APRN
Nurse Practitioner in Tupelo, Mississippi
NPI 1497478812

Samantha Jade Sullivan is a Nurse Practitioner based in Tupelo, MS. Samantha Jade Sullivan practices in Tupelo, MS and has the professional credentials of APRN. The NPI Number for Samantha Jade Sullivan is 1497478812 and holds a License No. 905575 (Mississippi).

The current practice location address for Samantha Jade Sullivan is 830 S Gloster St, Tupelo, MS and can be reached out via phone at 662-377-3270.

Location: 830 S Gloster St, Tupelo, MS, 38801-4934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497478812
Provider Name
Samantha Jade Sullivan
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
830 S Gloster St, Tupelo, MS, 38801-4934
Phone Number
662-377-3270
Fax Number
Provider Enumeration Date
09/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
830 S Gloster St
City
Tupelo
State
Mississippi
Zip
38801-4996
Phone Number
662-377-3270
Fax Number
person
Provider Business Mailing Address Details
Address
830 S Gloster St
City
Tupelo
State
Mississippi
Zip
38801-4996
Phone Number
662-377-3270
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
905575 (Mississippi)
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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