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

Mrs. Stacey Allysun Sullivan, APNP

Individual provider Registered Nurse · NPI 1750861969

Mrs. Stacey Allysun Sullivan, APNP is a Registered Nurse in Milwaukee, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2018
Specialties on file
3

Practice location Address checks out

2801 W Kinnickinnic River Pkwy Ste 260
Milwaukee, WI 53215-3631
Phone: (414) 649-6780
Fax: (414) 649-6030
Show map & directions

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

Additional practice locations (1)

  • 36500 Aurora Dr, Summit, WI 53066-4899 — (602) 214-8834

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 8624 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 197066 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 8624 (WI)

Record details

NPI number1750861969
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedAugust 16, 2018
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021

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