MS. Jerry Sullivan, CFNP
MS. Jerry Sullivan, CFNP is a Nurse Practitioner in Woodland, Mississippi. Qualified in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 32
- Licensed in
- MS
- In the registry since
- 2007
Practice location Address checks out
120 Market StWoodland, MS 39776
Phone: (662) 456-0111
Fax: (662) 456-7335
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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 R739537 (MS) |
|---|
Record details
| NPI number | 1457409807 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CFNP |
| Sole proprietor | Yes |
| NPI enumerated | January 8, 2007 |
| Last updated in NPPES | February 17, 2011 |
| Mailing address | P. O. Box 186, 120 Market Street, Woodland, MS 39776 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 1994 (32 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |