| Lorie Sullivan, | |
|
9427 Eastside Drive Ext # A, Newton, MS 39345-8063 | |
| (601) 683-0330 | |
| (601) 635-3746 |
| Full Name | Lorie Sullivan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 9427 Eastside Drive Ext # A, Newton, Mississippi |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518771161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 907055 (Mississippi) | Primary |
| Entity Name | Independent Healthcare Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20031215000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Lorie Sullivan, 140 Thompson Rd, Lake, MS 39092-9495 Ph: (601) 527-2740 | Lorie Sullivan, 9427 Eastside Drive Ext # A, Newton, MS 39345-8063 Ph: (601) 683-0330 |
Ms. Vanessa Norman, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 252 Northside Dr, Newton, MS 39345 Phone: 601-683-3117 | |
Melodie Carol Vick, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 700 Northside Dr, Newton, MS 39345 Phone: 601-683-4300 Fax: 601-683-4303 | |
Rhonda P. Davis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 School Street Ext, Newton, MS 39345 Phone: 601-683-3327 Fax: 601-683-3329 | |
Ms. Cynthia Marguerite Schuetz Boyd Smith, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9425 Eastside Dr. Ext Hwy 15 North, Newton, MS 39345 Phone: 601-635-3333 Fax: 601-693-3330 | |
Jason William Roberts, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9427 Eastside Drive Ext Ste A, Newton, MS 39345 Phone: 601-683-0330 | |
Madison Windham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9427 Eastside Drive Ext Ste A, Newton, MS 39345 Phone: 601-683-0330 | |
Abby Nicole Novak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 Eastside Dr, Newton, MS 39345 Phone: 601-228-8985 |