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Individual

JOSIE R SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0001
(417) 836-4000
(888) 586-1348
Mailing address
901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0001
(417) 836-4000
(888) 586-1348

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
798116
TX
363L00000X
Nurse Practitioner
2025008802
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1129742
TX

Other

Enumeration date
05/24/2021
Last updated
05/12/2026
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