IndividualActive
Bertha Sullivn, RN
NPI 1831729417 · Registered Nurse · Jackson, MS
Provider details
- NPI number
- 1831729417
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 141-222 (AL)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Nursing Service Providers
Practice location
635 Hampton Way Apt C
Jackson, MS 39211-2300
Phone: (662) 466-2208
Approximate (ZIP-level) locationGet directions
Mailing address
635 Hampton Way
Jackson, MS 39211-2300
Registry dates
- Enumerated
- 2020-01-22
- Last updated
- 2020-01-22
- Certified
- 2020-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.