Individual provider · Type 1 NPI

Hazel Leann Sullivan, AG- ACNP

Acute Care Nurse Practitioner · Meridian, MS

NPI number 1679995112 Active

Practice location

1314 19th Ave
Meridian, MS 39301-4116

Call (601) 483-0011 Map

Mailing address

2016 Little Rock Decatur Rd
Decatur, MS 39327-9118

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	R854988 (MS)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1679995112

Hazel Leann Sullivan, AG- ACNP's National Provider Identifier is 1679995112, issued on Jan 18, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Meridian, MS. The record was last updated on Jan 18, 2014.