Individual
ALLISON SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
120 N CAROLINA ST, NEW ROADS, LA 70760-3604
(225) 713-4044
(225) 208-1188
Mailing address
302 HACKER ST, NEW IBERIA, LA 70560-4508
(337) 330-2576
(337) 417-9909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
08/28/2025
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