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

Mrs. Holly Nicole Sullivan, FNP-C

Individual provider Nurse Practitioner · NPI 1790310647

Mrs. Holly Nicole Sullivan, FNP-C is a Nurse Practitioner in Crestview Hills, Kentucky. Qualified in 2019, 7 years ago. Practices with Mayfield Clinic Inc, a 75-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
7
Licensed in
KY, OH
In the registry since
2020
Specialties on file
4
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

544 Centre View Blvd
Crestview Hills, KY 41017-3400
Phone: (513) 221-1100
Fax: (859) 341-3913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3825 Edwards Rd Ste 300, Cincinnati, OH 45209-1288 — (513) 221-1100

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.4015060 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.026498 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.4015060 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.026498 (OH)

Record details

NPI number1790310647
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 10, 2020
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mayfield Clinic Inc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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