Individual provider · Type 1 NPI

Candice Darchell Sullivan, NP

Nurse Practitioner · Stockbridge, GA

NPI number 1811636822 Active

Practice location

1240 Eagles Landing Pkwy Ste 280
Stockbridge, GA 30281-5173

Mailing address

2933 Raton Path
Lithonia, GA 30038-2980

Other practice locations

  • 1520 Clifton Rd NE, Atlanta, GA 30322-4201 · (404) 727-7980

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN242143 (GA)
Nurse Practitioner Primary 363L00000XRN242143 (GA)

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…

4 other providers at this address

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About NPI 1811636822

Candice Darchell Sullivan, NP's National Provider Identifier is 1811636822, issued on May 31, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stockbridge, GA. The record was last updated on Aug 7, 2025.