Jessica Sullivan, CFNP is a
Nurse Practitioner - Primary Care based in Woodland, Mississippi. Jessica Sullivan is licensed to practice in Mississippi (license number 906933) and her current practice location is
120 Market St, Woodland, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 456-0111.
NPI number for Jessica Sullivan is 1407682420 and her current mailing address is 18780 Highway 46, Mantee, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407682420.
Provider's Profile
Full Name | Jessica Sullivan |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 120 Market St, Woodland, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407682420
- Provider Enumeration Date: 09/09/2024
- Last Update Date: 09/09/2024
Medical Identifiers
Medical identifiers for Jessica Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407682420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | 906933 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Sullivan, CFNP 18780 Highway 46, Mantee, MS 39751-9514 Ph: (662) 295-1944 | Jessica Sullivan, CFNP 120 Market St, Woodland, MS 39776-9104 Ph: (662) 456-0111 |
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