1. Home
  2. Directory
  3. Arkansas
  4. Jacksonville
  5. Nurse Practitioner
  6. NPI Profile

SUE SULLIVAN APN
NPI 1306019708
Nurse Practitioner - Family in Jacksonville, AR

Active since April 07, 2008
1409 BRADEN ST, JACKSONVILLE, AR 72076(501) 982-0576(501) 982-0041 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sue Sullivan Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUE SULLIVAN APN (NPI 1306019708) is an individual family provider in Jacksonville, Arkansas, licensed in Arkansas (A01183) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1306019708
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUE SULLIVANCredential: APN
Location Address1409 BRADEN STJacksonville, AR 72076-3720
Mailing Address1409 Braden StJacksonville, AR 72076-3720 · (501) 982-0576 · Fax (501) 982-0041
Phone(501) 982-0576
Fax(501) 982-0041
Sole ProprietorNo
Enumeration DateApril 7, 2008
Last NPPES UpdateNovember 17, 2011
✔ NPI 1306019708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · A01183
1409 BRADEN ST, Jacksonville, AR 72076
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN DAUGHERTY M.D.
Family Medicine
1409 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 982-0576
DAUGHERTY AND DAUGHERTY MEDICAL CLINIC PA
Family Medicine
1409 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 982-0576

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sue Sullivan's NPI number?

The NPI number for Sue Sullivan is 1306019708. It was assigned to this individual provider in the NPPES registry on April 7, 2008.

Where is Sue Sullivan located?

Sue Sullivan practices at 1409 Braden St, Jacksonville, AR 72076. The listed phone number is (501) 982-0576.

What is Sue Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sue Sullivan was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.