Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Carol Sullivan, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1215379482

Lisa Carol Sullivan, FNP-BC is a Nurse Practitioner in Charleston, West Virginia. Qualified in 2013, 13 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
13
Licensed in
WV
In the registry since
2013
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

501 Morris St
Charleston, WV 25301-1326
Phone: (304) 388-5432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN63044NP (WV)

Record details

NPI number1215379482
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 29, 2013
Last updated in NPPESDecember 30, 2015

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 Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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