Individual
JALON SULLIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
135 MEDICAL PARK DR STE 1A, ANDALUSIA, AL 36420-5353
(334) 843-8515
Mailing address
135 MEDICAL PARK DR STE 1A, ANDALUSIA, AL 36420-5353
(334) 843-8515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-186617
AL
Other
Enumeration date
07/24/2025
Last updated
10/15/2025
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