Individual
MS. NICKCOLA LEE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
75 MONTE VISTA TER, CANDLER, NC 28715-9436
(828) 381-2788
Mailing address
75 MONTE VISTA TER, CANDLER, NC 28715-9436
(828) 381-2788
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5007015
NC
Other
Enumeration date
07/21/2014
Last updated
08/21/2025
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