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

Kimberly Ann Sullivan, FNP

Individual provider Family Nurse Practitioner · NPI 1538817325

Kimberly Ann Sullivan, FNP is a Nurse Practitioner in Gould, Arkansas. Qualified in 2020, 6 years ago. Practices with Marillac Community Health Centers, a 70-clinician group and accepts Medicare assignment. Licensed in Arkansas and California.

Years since qualifying
6
Licensed in
AR, CA
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

407 S Gould Ave
Gould, AR 71643-5041
Phone: (870) 382-3080
Fax: (870) 263-4782
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 229467 (AR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95020227 (CA)

Record details

NPI number1538817325
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 11, 2022
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Marillac Community Health Centers — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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