IndividualActive
Hazel Sullivan, AG- ACNP
NPI 1679995112 · Acute Care Nurse Practitioner · Meridian, MS
Provider details
- NPI number
- 1679995112
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG- ACNP
- Sex
- Female
- Sole proprietor
- No
- License
- R854988 (MS)
Mailing address
2016 Little Rock Decatur Rd
Decatur, MS 39327-9118
Registry dates
- Enumerated
- 2014-01-18
- Last updated
- 2014-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.