Individual provider · Type 1 NPI
Jessica Sullivan, CFNP
Primary Care Nurse Practitioner · Woodland, MS
NPI number
1407682420
Active
Practice location
120 Market St
Woodland, MS 39776-9104
Fax (662) 456-7335
Mailing address
18780 Highway 46
Mantee, MS 39751-9514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 906933 (MS) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1407682420
Jessica Sullivan, CFNP's National Provider Identifier is 1407682420, issued on Sep 9, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Woodland, MS. The record was last updated on Sep 9, 2024.