Individual provider · Type 1 NPI

Amanda Sullivan, CFNP

Nurse Practitioner · Flowood, MS

NPI number 1386010379 Active

Practice location

1020 River Oaks Dr Ste 310
Flowood, MS 39232-9512

Fax (601) 932-5447

Mailing address

1020 River Oaks Dr 310
Flowood, MS 39232-9512

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR882573 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1386010379

Amanda Sullivan, CFNP's National Provider Identifier is 1386010379, issued on Aug 13, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Flowood, MS. The record was last updated on Jan 19, 2016.