Individual
CARRINGTON SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 N STATE ST STE 502, JACKSON, MS 39202-2414
(601) 944-1781
(601) 353-0439
Mailing address
1190 N STATE ST STE 502, JACKSON, MS 39202-2414
(601) 944-1781
(601) 353-0439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905405
MS
363LF0000X
Family Nurse Practitioner
905405
MS
Other
Enumeration date
07/06/2022
Last updated
08/15/2024
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