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

Mr. Mark Ashley Sullivan, RN

Individual provider Critical Care Medicine Registered Nurse · NPI 1194931964

Mr. Mark Ashley Sullivan, RN is a Critical Care Medicine Registered Nurse in Melbourne, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1350 Hickory St
Melbourne, FL 32901-3278
Phone: (321) 434-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence RN9190840 (FL)

Record details

NPI number1194931964
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedMay 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1517 Burgess Ct, Melbourne, FL 32935-3201

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