Sally Sullivan is a Jackson, Mississippi based nurse anesthetist with 9 years of experience as Anesthesia Administration. She completed she graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Sally Sullivan is R892793 for Anesthesia Administration in Mississippi. Her current practice location is 971 Lakeland Dr, Jackson. Patients can reach her at 334-279-1450 or can fax her at 334-395-4110. Sally Sullivan is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1609223205. Sally Sullivan is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Sally Sullivan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
9+ years
Medical School Attended:
Other
Graduation Year:
2016
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
971 Lakeland Dr, Jackson, Mississippi, 39216-4643
Phone:
334-279-1450
Fax:
334-395-4110
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2860787975
Enrollment ID:
I20160827000203
NPI Number:
1609223205
NPI Enumeration Date:
24 May, 2016
NPI Last Update On:
24 May, 2016
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sally Sullivan are as mentioned below.
License Number
Specialization
State
Status
R892793
Anesthesia Administration
Mississippi
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Och Regional Medical Center (250050)
Starkville, MS
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Sally Sullivan has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Och Professional Services (9739252396)
18
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 4608, Jackson, Mississippi
Zip:
39296-4608
Phone Number:
334-279-1450
Fax Number:
334-395-4110
Patients can reach Sally Sullivan at 971 Lakeland Dr, Jackson, Mississippi or can call to book an appointment on 334-279-1450.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.