Lisa Myers Sullivan in Jackson - Student In An Organized Health Care Education/training Program
Lisa Myers Sullivan - NPI 1497976617
Lisa Myers Sullivan is a Student In An Organized Health Care Education/training Program in Jackson, Mississippi. Lisa Myers Sullivan practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Lisa Myers Sullivan is 1497976617. The last update date is 2015-11-11.
Lisa Myers Sullivan's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019841530. The mailing address for Lisa Myers Sullivan is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Myers Sullivan |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019841530 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497976617 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2015-11-11 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019841530 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
| Licence No | 116017500 |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 178238 | AL | -- | |
| 7704363 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Myers Sullivan by the Centers for Medicare & Medicaid Services?
The Lisa Myers Sullivan has been assigned the NPI (National Provider Identifier) 1497976617. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lisa Myers Sullivan?
The Lisa Myers Sullivan is situated at 2500 N State St, in the city of Jackson, state of MS, with the zip code 392164500.
What is Lisa Myers Sullivan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa Myers Sullivan is Student In An Organized Health Care Education/training Program, and the taxonomy classification code that categorizes this area of expertise is 390200000X.
When did Lisa Myers Sullivan receive its 1497976617 assignment?
The Lisa Myers Sullivan was assigned its 1497976617 on 2007-05-02, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Lisa Myers Sullivan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Myers Sullivan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-11-11.