Individual
AMY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5830 HIGHWAY 5, CABOT, AR 72023-7328
(501) 941-1376
(501) 941-2793
Mailing address
117 S 2ND ST, PO BOX 497, AUGUSTA, AR 72006-2309
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004030
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201310758
—
AR
Enumeration date
02/18/2014
Last updated
01/21/2026
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