Individual provider · Type 1 NPI
Shamecka Sullivan, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Fairdale, KY
NPI number
1023840717
Active
Practice location
1000 Neighborhood Pl
Fairdale, KY 40118-9697
Fax (502) 996-8309
Mailing address
PO Box 392552
Pittsburgh, PA 15251-9500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4024554 (KY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
8 other providers at this address
- Family Health Centers, Inc.Federally Qualified Health Center (FQHC) Fairdale, KY NPI 1871546119
- Louisville-Jefferson County Metro GovernmentPublic Health or Welfare Agency Fairdale, KY NPI 1316072960
- Alexey Acosta QuintanaFamily Nurse Practitioner Fairdale, KY NPI 1639818867
- Amanda Calloway Phillips, NPWomen's Health Nurse Practitioner Fairdale, KY NPI 1932308855
- Dona J. Meers, C.N.P.Family Nurse Practitioner Fairdale, KY NPI 1942231113
- Manuel L. Brown Jr., MDAdult Medicine Physician Fairdale, KY NPI 1114052677
- Susan E. Hagan, MDObstetrics & Gynecology Physician Fairdale, KY NPI 1124139241
- Terrica Michelle Flowers, APRNFamily Nurse Practitioner Fairdale, KY NPI 1528587789
About NPI 1023840717
Shamecka Sullivan, PMHNP's National Provider Identifier is 1023840717, issued on Aug 20, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fairdale, KY. The record was last updated on Mar 7, 2025.