Individual provider · Type 1 NPI
Courtney Sullivan, FNP-C
Family Nurse Practitioner · Kershaw, SC
NPI number
1366852345
Active
Practice location
505 Woodland Drive
Kershaw, SC 29067-1704
Fax (803) 262-0198
Mailing address
5545 Flat Creek Rd
Heath Springs, SC 29058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 22264 (SC) |
| Registered Nurse | 163W00000X | 100813 (SC) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Kershaw
About NPI 1366852345
Courtney Sullivan, FNP-C's National Provider Identifier is 1366852345, issued on Apr 30, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kershaw, SC. The record was last updated on Mar 30, 2022.