Individual
MRS. KERRY LEE SULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5131 O' DONOVAN DRIVE, FIRST FLOOR, BATON ROUGE, LA 70808
(225) 767-4893
(225) 767-5494
Mailing address
5131 ODONOVAN DR FL 1, BATON ROUGE, LA 70808-4782
(225) 767-4893
(225) 767-5494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN107963AP05632
LA
Other
Enumeration date
10/23/2008
Last updated
12/01/2010
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