Individual
MRS. CORTESSIA BADIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, RN
Contact information
Practice address
712 25TH ST N, BIRMINGHAM, AL 35203-2400
(205) 407-6900
Mailing address
712 25TH ST N, BIRMINGHAM, AL 35203-2400
(205) 407-6900
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1-139399
AL
363LA2100X
Acute Care Nurse Practitioner
2018016965
AL
363LF0000X
Family Nurse Practitioner
Primary
2018016968
AL
Other
Enumeration date
03/03/2015
Last updated
01/11/2024
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