# JOSIE R SULLIVAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568037422
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 798116 | TX | — |
| 363L00000X | Nurse Practitioner | 2025008802 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1129742 | TX | Yes |

## Other

- **Enumeration date:** 05/24/2021
- **Last updated:** 05/12/2026