IndividualActive
Amanda Sullivan, CFNP
NPI 1386010379 · Nurse Practitioner · Flowood, MS
Provider details
- NPI number
- 1386010379
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CFNP
- Sex
- Female
- Sole proprietor
- No
- License
- R882573 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1020 River Oaks Dr Ste 310
Flowood, MS 39232-9512
Phone: (601) 932-5006
Fax: (601) 932-5447
Approximate (ZIP-level) locationGet directions
Mailing address
1020 River Oaks Dr 310
Flowood, MS 39232-9512
Registry dates
- Enumerated
- 2015-08-13
- Last updated
- 2016-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.