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

Courtney Sullivan, FNP-C

Individual provider Family Nurse Practitioner · NPI 1366852345

Courtney Sullivan, FNP-C is a Nurse Practitioner in Kershaw, South Carolina. Qualified in 2017, 9 years ago. Practices with Carolina Behavioral Healthcare, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
9
Licensed in
SC
In the registry since
2014
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

505 Woodland Dr
Kershaw, SC 29067-1704
Phone: (803) 282-7465
Fax: (803) 262-0198
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22264 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 100813 (SC)

Record details

NPI number1366852345
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 30, 2014
Last updated in NPPESMarch 30, 2022
Certification dateMarch 30, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Carolina Behavioral Healthcare, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kershaw