Individual
DANIELLE NICOLE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 5TH AVE, ALBANY, GA 31701-1976
(229) 883-4555
(229) 888-0063
Mailing address
414 5TH AVE, ALBANY, GA 31701-1976
(229) 883-4555
(229) 888-0063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9565528
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
GA339973
GA
Other
Enumeration date
06/17/2024
Last updated
04/15/2026
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