MRS. Lacey Sullivan, FNP-BC
NPI #1174951503 in Bonne Terre, Missouri
Provider Information
- NPI Number
- 1174951503
- Entity Type
- Individual
- Name
- MRS. Lacey Sullivan, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP-BC
- Enumeration Date
- Oct 22, 2013
- Last Updated
- Sep 17, 2025
Practice Location
- Address
- 7245 RAIDER RD STE C
- City
- Bonne Terre
- State
- Missouri
- ZIP Code
- 63628-3767
- Phone
- (573) 358-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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