Courtney Sullivan, FNP-C
NPI #1366852345 in Kershaw, South Carolina
Provider Information
- NPI Number
- 1366852345
- Entity Type
- Individual
- Name
- Courtney Sullivan, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Apr 30, 2014
- Last Updated
- Mar 30, 2022
Practice Location
- Address
- 505 WOODLAND DRIVE
- City
- Kershaw
- State
- South Carolina
- ZIP Code
- 29067-1704
- Phone
- (803) 282-7465
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Registered Nurse |
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