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

Individual provider Nurse Practitioner · NPI 1770107757

Tonya Jordan Sullivan, NURSEPRACTITIONER is a Nurse Practitioner in Mooresville, North Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2020, 6 years ago. Practices with Piedmont Healthcare PA, a 223-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NC
In the registry since
2020
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Practice location Address checks out

125 Days Inn Dr
Mooresville, NC 28117-6323
Phone: (704) 660-9111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5013206 (NC)

Record details

NPI number1770107757
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 4, 2020
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Piedmont Healthcare Pa — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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