Individual provider · Type 1 NPI

Lisa Carol Sullivan, FNP-BC

Family Nurse Practitioner · Charleston, WV

NPI number 1215379482 Active

Practice location

501 Morris St
Charleston, WV 25301-1326

Call (304) 388-5432 Map

Mailing address

3200 Maccorkle Avenue
Charleston, WV 25304

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	APRN63044NP (WV)

Family Nurse Practitioner: Definition to come...

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About NPI 1215379482

Lisa Carol Sullivan, FNP-BC's National Provider Identifier is 1215379482, issued on Jul 29, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, WV. The record was last updated on Dec 30, 2015.