| Mrs Valerie O'briant Sullivan, FNP | |
|
14724 Highway 15 N, Louisville, MS 39339-6318 | |
| (662) 773-7500 | |
| (662) 779-5006 |
| Full Name | Mrs Valerie O'briant Sullivan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 29 Years |
| Location | 14724 Highway 15 N, Louisville, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598716573 | NPI | - | NPPES |
| 00117849 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R749408 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Choctaw Regional Medical Center | Ackerman, MS | Hospital |
| Winston Medical Center & Swingbed | Louisville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Choctaw Regional Medical Center | 2567682206 | 32 |
| Entity Name | Choctaw Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235547878 PECOS PAC ID: 2567682206 Enrollment ID: O20141215002502 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Valerie O'briant Sullivan, FNP 8613 Ms Highway 12, Ackerman, MS 39735-8917 Ph: (662) 285-9460 | Mrs Valerie O'briant Sullivan, FNP 14724 Highway 15 N, Louisville, MS 39339-6318 Ph: (662) 773-7500 |
Alyssa Cameron Whitehead, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2750 N Church Ave, Louisville, MS 39339 Phone: 662-446-9012 Fax: 662-446-9432 | |
Ashley Nicole Hughes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 56 Westhill Dr, Louisville, MS 39339 Phone: 404-234-1821 | |
Carmen Byrd, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 N Court Ave, Louisville, MS 39339 Phone: 601-815-2060 | |
Eric Leron Yarbrough, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17550 E Main St, Louisville, MS 39339 Phone: 662-773-3503 | |
Beverly Jan Randle, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14724 Highway 15 N, Louisville, MS 39339 Phone: 662-773-7500 | |
Jessica Clark Mills, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16569 W Main St, Louisville, MS 39339 Phone: 662-773-5704 Fax: 662-773-9463 | |
Tasha L Hannah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2095 S Church Ave, Louisville, MS 39339 Phone: 662-803-0415 |