Individual provider · Type 1 NPI
Bertha Siedah Sullivn, RN
Registered Nurse · Jackson, MS
Practice location
635 Hampton Way Apt C
Jackson, MS 39211-2300
Mailing address
635 Hampton Way
Jackson, MS 39211-2300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 141-222 (AL) |
| Medical-Surgical Registered Nurse | 163WM0705X | 895742 (MS) |
| Registered Nurse Primary | 163W00000X | 895742 (MS) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1831729417
Bertha Siedah Sullivn, RN's National Provider Identifier is 1831729417, issued on Jan 22, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Jackson, MS. The record was last updated on Jan 22, 2020.