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

Individual provider Family Nurse Practitioner · NPI 1356620009

Mary Janette Sullivan, CRNP is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2010, 16 years ago. Practices with Centers for Developmentally Disabled, North Central Al, a 2-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
16
Licensed in
AL
In the registry since
2011
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1302
Phone: (205) 533-8902
Fax: (855) 737-5542
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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 1-077197 (AL)

Record details

NPI number1356620009
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 12, 2011
Last updated in NPPESApril 8, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Centers For Developmentally Disabled, North Central Al — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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