Individual provider · Type 1 NPI

Jalon Sullivant, NP

Nurse Practitioner · Andalusia, AL

NPI number 1871475384 Active

Practice location

135 Medical Park Dr Ste 1A
Andalusia, AL 36420-5353

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1-186617 (AL)

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…

2 other providers at this address

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About NPI 1871475384

Jalon Sullivant, NP's National Provider Identifier is 1871475384, issued on Jul 24, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Andalusia, AL. The record was last updated on Oct 15, 2025.