Cierra Sullivan, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Goldsboro, NC

NPI 1497436828 · NPPES record last updated Jul 27, 2023

Key facts

NPI
1497436828
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
295382 (NC)
Practice address
2706 Medical Office PL
Goldsboro, NC 27534-9462
Phone
(919) 734-4736
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
295382NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goldsboro Pediatrics PA Past
since Jul 31, 2023
Accepting new patients
Goldsboro Pediatrics PA Past
since Jul 31, 2023
Accepting new patients
Goldsboro Pediatrics PA Past Accepting new patients
Goldsboro Pediatrics PA Past
since Dec 24, 2023
Accepting new patients

Interoperability endpoints

  • Direct secure messaging: csullivan@goldsboropeds.medentdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 295382 NC Yes

Addresses

Primary practice location

2706 Medical Office PL
Goldsboro, NC 27534-9462

Mailing address

111 Elm Ave
Goldsboro, NC 27530-7709

Other providers in Goldsboro, NC

All providers in Goldsboro, NC · Family Nurse Practitioner in North Carolina

Sources for this page

Verify at the official NPI Registry.