Individual provider · Type 1 NPI

Mary Janette Sullivan, CRNP

Family Nurse Practitioner · Birmingham, AL

NPI number 1356620009 Active

Practice location

2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1302

Fax (855) 737-5542

Mailing address

333 Commerce St Ste 700
Nashville, TN 37201-1835

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-077197 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1356620009

Mary Janette Sullivan, CRNP's National Provider Identifier is 1356620009, issued on Aug 12, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Birmingham, AL. The record was last updated on Apr 8, 2019.