IndividualActive
Carolyn Sullivan, AC PNP
NPI 1225306269 · Critical Care Pediatric Nurse Practitioner · Springfield, MO
Provider details
- NPI number
- 1225306269
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AC PNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209009257 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3231 S National Ave
Suite 115
Springfield, MO 65807-7304
Phone: (417) 885-0824
Fax: (417) 890-4174
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 505164
Saint Louis, MO 63150-5164
Registry dates
- Enumerated
- 2011-12-05
- Last updated
- 2015-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.