SUE SULLIVAN APN NPI 1306019708

NPI Information

  • NPI: 1306019708
  • Provider Name: SUE SULLIVAN, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1409 BRADEN ST
    JACKSONVILLE, AR
    ZIP 72076
  • Phone: (501) 982-0576

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NPI Details

Sue Sullivan, APN is a family nurse practitioner in Jacksonville, AR. Sue Sullivan, APN NPI is 1306019708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1409 BRADEN ST
JACKSONVILLE, AR
ZIP 72076-720
Phone: (501) 982-0576
Fax: (501) 982-0041

The enumeration date for this NPI number is 4/7/2008 and was last updated on 11/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyA01183ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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