Individual provider · Type 1 NPI

Lisa Marie Sullivan, APRN-CNP

Primary Care Nurse Practitioner · Yukon, OK

NPI number 1063255164 Active

About NPI 1063255164

Lisa Marie Sullivan, APRN-CNP's National Provider Identifier is 1063255164, issued on Jun 17, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Yukon, OK. The record was last updated on Feb 9, 2026.