Individual
MARY JANETTE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2100 SOUTHBRIDGE PKWY STE 650, BIRMINGHAM, AL 35209-1302
(205) 533-8902
(855) 737-5542
Mailing address
333 COMMERCE ST STE 700, NASHVILLE, TN 37201-1835
(615) 454-9850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-077197
AL
Other
Enumeration date
08/12/2011
Last updated
04/08/2019
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