Chantal Sullivan Aprn-Bc Pllc
NPI #1437784550 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1437784550
- Entity Type
- Organization
- Organization Name
- Chantal Sullivan Aprn-Bc Pllc
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Mar 9, 2020
- Last Updated
- Mar 11, 2020
Practice Location
- Address
- 8990 LORRAINE RD
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39503-4176
- Phone
- (228) 331-3310
Authorized Official
- Name
- MS. CHANTAL SULLIVAN, APRN
- Title
- NURSE PRACTITIONER
- Phone
- (228) 331-3310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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