Individual provider · Type 1 NPI

Nickcola Lee Sullivan, AGNP

Adult Health Nurse Practitioner · Candler, NC

NPI number 1992112007 Active

Practice location

75 Monte Vista Ter
Candler, NC 28715-9436

Call (828) 381-2788 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X5007015 (NC)

Adult Health Nurse Practitioner: Definition to come...

About NPI 1992112007

Nickcola Lee Sullivan, AGNP's National Provider Identifier is 1992112007, issued on Jul 21, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Candler, NC. The record was last updated on Aug 21, 2025.