CHANTAL SULLIVAN

GULFPORT, MS
NPI1740811280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  903677)
Enumeration Date2020-02-03
Last Update Date2020-03-09
Business Address
Ms. CHANTAL SULLIVAN PMHNP-BC
8990 LORRAINE RD
GULFPORT, MS 39503-4176
Phone number: 228-331-3310
Mailing Address
Ms. CHANTAL SULLIVAN PMHNP-BC
928 COURTHOUSE RD UNIT 6
GULFPORT, MS 39507-4110
Phone number: 720-271-0941
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