Andre Jawann Sullivan in Tyndall Afb - Psychiatry
Andre Jawann Sullivan - NPI 1023162559
Andre Jawann Sullivan is a Psychiatry in Tyndall Afb, Florida. Andre Jawann Sullivan practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Andre Jawann Sullivan is 1023162559. The last update date is 2018-12-03.
Andre Jawann Sullivan's current location address is 325 Mdg, 340 Magnolia Circle, Tyndall Afb, Florida. You can contact this provider via phone number 7037312566. The mailing address for Andre Jawann Sullivan is 325 Mdg, 340 Magnolia Circle, Tyndall Afb, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andre Jawann Sullivan |
|---|---|
| Address | 325 Mdg, 340 Magnolia Circle, Tyndall Afb, Florida |
| Phone Number | 7037312566 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023162559 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2018-12-03 |
Provider Mailing Address Detail
| Address | 325 Mdg, 340 Magnolia Circle |
|---|---|
| City | Tyndall Afb |
| State | Florida (FL) |
| Post Code | 32403 |
| Phone Number | 7037312566 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | R9446 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Andre Jawann Sullivan?
The Andre Jawann Sullivan has been issued the NPI (National Provider Identifier) 1023162559 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Andre Jawann Sullivan is physically located?
The Andre Jawann Sullivan is physically situated at the following address: 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL, 32403.
What is the Andre Jawann Sullivan's area of specialization and corresponding taxonomy classification?
The Andre Jawann Sullivan's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.
When did Andre Jawann Sullivan receive its 1023162559 assignment?
The Andre Jawann Sullivan was assigned its 1023162559 on 2007-01-22, which is the date when this unique identifier was issued to the organization.
As of what date were the Andre Jawann Sullivan's details last updated?
The information pertaining to the Andre Jawann Sullivan, including its address, specialty, and other details, was most recently updated on 2018-12-03.
NPI Number: 1902802911
Address: 5593 Stewart St, Milton, FL