Individual provider · Type 1 NPI

Tonya Jordan Sullivan, NURSE PRACTITIONER

Nurse Practitioner · Mooresville, NC

NPI number 1770107757 Active

Practice location

125 Days Inn Dr
Mooresville, NC 28117-6323

Mailing address

PO Box 1845
Statesville, NC 28687-1845

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5013206 (NC)

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 1770107757

Tonya Jordan Sullivan, NURSE PRACTITIONER's National Provider Identifier is 1770107757, issued on Jun 4, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mooresville, NC. The record was last updated on Aug 10, 2023.