Individual
KIMBERLY ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
407 S GOULD AVE, GOULD, AR 71643-5041
(870) 382-3080
(870) 263-4782
Mailing address
PO BOX 158, DUMAS, AR 71639-0158
(870) 382-3080
(870) 263-4782
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
229467
AR
363LF0000X
Family Nurse Practitioner
95020227
CA
Other
Enumeration date
03/11/2022
Last updated
06/23/2026
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