Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bertha Siedah Sullivn, RN

Individual provider Registered Nurse · NPI 1831729417

Bertha Siedah Sullivn, RN is a Registered Nurse in Jackson, Mississippi. Licensed in Alabama and Mississippi. Registered with an NPI since 2020.

Licensed in
AL, MS
In the registry since
2020
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

635 Hampton Way Apt C
Jackson, MS 39211-2300
Phone: (662) 466-2208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 895742 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 141-222 (AL)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 895742 (MS)

Record details

NPI number1831729417
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020

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