IndividualActive
Sabra Sullivan, M.D., PHD.
NPI 1932176641 · Procedural Dermatology Physician · Jackson, MS
Provider details
- NPI number
- 1932176641
- Entity type
- Individual
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PHD.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 14238 (MS)
Practice location
501 Marshall St
Suite 606
Jackson, MS 39202-1651
Phone: (601) 355-8555
Fax: (601) 355-2244
Mailing address
501 Marshall St
Jackson, MS 39202-1651
Registry dates
- Enumerated
- 2006-03-01
- Last updated
- 2010-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.