HAZEL LEANN SULLIVAN

MERIDIAN, MS
NPI1679995112
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  R854988)
Enumeration Date2014-01-18
Last Update Date2014-01-18
Business Address
-- HAZEL LEANN SULLIVAN AG- ACNP
1314 19TH AVE
MERIDIAN, MS 39301-4116
Phone number: 601-483-0011
Mailing Address
-- HAZEL LEANN SULLIVAN AG- ACNP
2016 LITTLE ROCK DECATUR RD
DECATUR, MS 39327-9118
Phone number: 601-416-7816
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