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Jerry Sullivan, CFNP
NPI 1457409807 · on the registry since 2007 · sole proprietor
Practice
- Address
- 120 Market Street
Woodland, MS 39776 - Phone
- (662) 456-0111
- Fax
- (662) 456-7335
- Organisation at this address
- Foot Solutions Llc
Woodland Clinic LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-02-17
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