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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1740811280

MS. Chantal Sullivan, PMHNP-BC is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2019, 7 years ago. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2020
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

8990 Lorraine Rd
Gulfport, MS 39503-4176
Phone: (228) 331-3310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 903677 (MS)

Record details

NPI number1740811280
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedFebruary 3, 2020
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020

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)
Accepts Medicare assignment Not indicated

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