Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hazel Leann Sullivan, AG-ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1679995112

Hazel Leann Sullivan, AG-ACNP is a Nurse Practitioner in Meridian, Mississippi. Qualified in 2013, 13 years ago. Practices with Medical Foundation Inc, a 202-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
13
Licensed in
MS
In the registry since
2014
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Practice location Address checks out

1314 19th Ave
Meridian, MS 39301-4116
Phone: (601) 483-0011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence R854988 (MS)

Record details

NPI number1679995112
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedJanuary 18, 2014
Last updated in NPPESJanuary 18, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Medical Foundation Inc — 202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Meridian