Individual provider · Type 1 NPI

Chantal Sullivan, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Gulfport, MS

NPI number 1740811280 Active

Practice location

8990 Lorraine Rd
Gulfport, MS 39503-4176

Mailing address

928 Courthouse Rd Unit 6
Gulfport, MS 39507-4110

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X903677 (MS)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1740811280

Chantal Sullivan, PMHNP-BC's National Provider Identifier is 1740811280, issued on Feb 3, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gulfport, MS. The record was last updated on Mar 9, 2020.