MS. Jerry Sullivan, CFNP
NPI #1457409807 in Woodland, Mississippi
Provider Information
- NPI Number
- 1457409807
- Entity Type
- Individual
- Name
- MS. Jerry Sullivan, CFNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CFNP
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Feb 17, 2011
Practice Location
- Address
- 120 MARKET STREET
- City
- Woodland
- State
- Mississippi
- ZIP Code
- 39776
- Phone
- (662) 456-0111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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