Alicia Sullivan

NPI 1194492728 · on the registry since 2021

Practice

Address: 522 W Park Ave Ste Q-R
Greenwood, MS 38930
Phone: (662) 374-5029
Organisation at this address: Johnson Staffing Agency Llc
Stewart Health Care Training Academy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi