Sullivan, Courtney

Sullivan, Courtney is an individual health care provider with primary practice located at 505 Woodland Drive , Kershaw SC 29067-1704. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Sullivan, Courtney can be contacted via phone (803) 282-7465.

Contact Information

Primary practice address
505 Woodland Drive Kershaw SC 29067-1704
Phone: (803) 282-7465
Fax: (803) 262-0198
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22264 South Carolina
Nursing Service Providers / Registered Nurse 163W00000X 100813 South Carolina

Profile Details

NPI number 1366852345
LBN Legal business name Sullivan, Courtney
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2014
Last updated Mar 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366852345 NPPES
South Carolina Other 1366852345 ALL INSURERS
South Carolina MEDICAID 1366852345 ALL INSURERS

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