Lisia A Sullins in St Simons Island - Family
Lisia A Sullins - NPI 1609937499
Lisia A Sullins is a Family in St Simons Island, Georgia. Lisia A Sullins practices all healthcare services and medical treatments related to Family. The NPI Number for Lisia A Sullins is 1609937499. The last update date is 2019-01-08.
Lisia A Sullins's current location address is 7000 Wellness Way, St Simons Island, Georgia. You can contact this provider via phone number 9126384855 and fax number 9126388302. The mailing address for Lisia A Sullins is 7000 Wellness Way, St Simons Island, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisia A Sullins |
|---|---|
| Address | 7000 Wellness Way, St Simons Island, Georgia |
| Phone Number | 9126384855 |
| Fax Number | 9126388302 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1609937499 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2019-01-08 |
Provider Mailing Address Detail
| Address | 7000 Wellness Way |
|---|---|
| City | St Simons Island |
| State | Georgia (GA) |
| Post Code | 315222286 |
| Phone Number | 9126384855 |
| Fax Number | 9126388302 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN112143 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000190209B | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Lisia A Sullins by the Centers for Medicare & Medicaid Services?
The Lisia A Sullins has been issued the NPI (National Provider Identifier) 1609937499. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lisia A Sullins's physical address?
The Lisia A Sullins is physically located at 7000 Wellness Way, in the city of St Simons Island, GA, with the postal code 315222286.
What is Lisia A Sullins's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisia A Sullins is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609937499 to Lisia A Sullins?
The Centers for Medicare & Medicaid Services originally issued the 1609937499 to Lisia A Sullins on 2006-12-13.
When was the Lisia A Sullins's information last updated?
The Lisia A Sullins's information was last updated on 2019-01-08.